Individual
MUTAHERA MAZHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
459 E 149TH ST STE 202, BRONX, NY 10455-1789
(855) 681-8700
Mailing address
6555 BROADWAY APT 4H, BRONX, NY 10471-2006
(718) 790-6659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331723
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2021
Last updated
07/15/2024
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