Individual
MAHA MUMTAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 277-8988
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036170336
IL
207RN0300X
Nephrology Physician
036170336
IL
Other
Enumeration date
07/07/2021
Last updated
06/19/2025
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