Basic Information
| Provider Information | |||||||||
| NPI: | 1164697041 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | IMRAN | ||||||||
| FirstName: | UZMA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 602 EAST 21ST STREET | ||||||||
| Address2: | |||||||||
| City: | NORTHAMPTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102621519 | ||||||||
| FaxNumber: | 6102627125 | ||||||||
| Practice Location | |||||||||
| Address1: | 602 E 21ST ST | ||||||||
| Address2: | |||||||||
| City: | NORTHAMPTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180671259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6102621519 | ||||||||
| FaxNumber: | 6102627125 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2008 | ||||||||
| LastUpdateDate: | 03/01/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MA08972500 | NJ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD443765 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.