Individual
FATIMAH MANZOOR
Active
Individual
FATIMAH MANZOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
064600
GA
207R00000X
Internal Medicine Physician
6241
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100463A
—
GA
01
—
01401428
AMERIGROUP
GA
01
—
1700011
CIGNA
GA
01
—
52497649
BCBS
GA
01
—
588865
WELLCARE
GA
01
—
P00903602
MEDICARE RAILROAD
GA
Enumeration date
05/01/2007
Last updated
07/22/2011
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