Doctor Name: | ALEEM IQBAL MUGHAL |
NPI Number: | 1770804981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | BP1-0037297 |
Business Practice Address: | 736 Cambridge St Brighton, MA - 021352907 |
Business Phone Number: | 6177892000 |
Business Fax Number: | |
Mailing Address: | 142 Bigelow St, Unit 203 BRIGHTON |
State: | MA |
Postal Code: | 021351738 |
Phone Number: | 8177065783 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2010 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | BP1-0037297 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |