Individual
DIYA F. MUTASIM
Active
Individual
DIYA F. MUTASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.059745
OH
207ND0900X
Dermatopathology Physician
Primary
35.059745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070004743
RR MEDICARE
OH
05
—
0781882
—
OH
05
—
200038080A
—
IN
05
—
64869787
—
KY
Enumeration date
05/20/2006
Last updated
01/08/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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