Basic Information
Provider Information
NPI: 1508471889
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AAMEISH
FirstName: MUHAMMAD
MiddleName: UMER SHAHZAD
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6977 MUIRFIELD DR
Address2:  
City: DUBLIN
State: OH
PostalCode: 430172878
CountryCode: US
TelephoneNumber: 6462096900
FaxNumber:  
Practice Location
Address1: 1901 1ST AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100297491
CountryCode: US
TelephoneNumber: 2124236262
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/13/2020
LastUpdateDate: 09/13/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/13/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X NYY Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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