| Doctor Name: | DR. MAHMOUD LOGHMAN-ADHAM |
| NPI Number: | 1043594120 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 176291-1205 |
| Business Practice Address: | 340 Kingsland St Nutley, NJ - 071101150 |
| Business Phone Number: | 9735622127 |
| Business Fax Number: | 9086471082 |
| Mailing Address: | 340 Kingsland St, NUTLEY |
| State: | NJ |
| Postal Code: | 071101150 |
| Phone Number: | 9735622127 |
| Fax Number: | 9086471082 |
| NPI Enumeration Date: | 10/06/2011 |
| NPI Last Update Date: | 10/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0210X |
| License Number: | 176291-1205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Nephrology |
| Taxonomy Definition: | A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |