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Mohammad Tamim Mukhtarzada, OD

Optometrist in Center Valley, PA. Individual provider (NPI-1).

NPI number1164083697
StatusActive
Last updated in NPPESOct 27, 2024

Details

NPI
1164083697
Entity type
Individual (NPI-1)
Name
Mohammad Tamim Mukhtarzada
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2019
Certification date
Oct 27, 2024
Last updated
Oct 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOEG003539PAYes
152W00000X OptometristORT009480NY

Practice location

3060 Center Valley Pkwy Ste 822
Center Valley, PA 18034-9040

Phone 610-791-0672

Mailing address

5735 Sunrise Hwy
Holbrook, NY 11741-4801

Phone 631-244-8844

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Other Optometrist providers in Center Valley, PA

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