Individual
TAHA MUJAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16241 BURNT ROCK LN, FORTVILLE, IN 46040-4537
(317) 792-0231
Mailing address
16241 BURNT ROCK LN, FORTVILLE, IN 46040-4537
(317) 792-0231
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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