| Qaiyum Mujtaba, M.d., P.c. | |
|
750 Savin Ave West Haven CT 06516-4314 | |
| (203) 931-7710 | |
| Not Available |
| Full Name | Qaiyum Mujtaba, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 750 Savin Ave, West Haven, Connecticut |
| Authorized Official Name and Position | Qaiyum Mujtaba (PRESIDENT) |
| Authorized Official Contact | 2039317710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Qaiyum Mujtaba, M.d., P.c. 750 Savin Ave West Haven CT 06516-4314 Ph: (203) 931-7710 | Qaiyum Mujtaba, M.d., P.c. 750 Savin Ave West Haven CT 06516-4314 Ph: (203) 931-7710 |
| NPI Number | 1174722805 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 07/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174722805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16546 (Connecticut) | Primary |
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