Individual
MARYUM KHALID IJAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 S ROBERTSON ST FL 14, NEW ORLEANS, LA 70112-2807
(504) 988-7829
(504) 988-4264
Mailing address
1430 TULANE AVE # 8055, NEW ORLEANS, LA 70112-2632
(504) 988-7829
(504) 988-4264
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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