Individual
MARIAM N ALI-MUCHERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16818 N 56TH ST, SCOTTSDALE, AZ 85254-1215
(000) 000-0000
Mailing address
980 JOHNSON FY RD NE, STE 880, ATLANTA, GA 30342-1609
(404) 255-8304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
51148
AZ
208600000X
Surgery Physician
73067-20
WI
208600000X
Surgery Physician
Primary
88221
GA
Other
Enumeration date
05/04/2014
Last updated
09/16/2021
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