Individual provider · NPI-1

Mausaminben Yunusali Hathidara, M.D.

Psychiatry & Neurology, Vascular Neurology · Altoona, PA

NPI number1487036265
StatusActive
Last updated in NPPESJun 9, 2025

Details

NPI
1487036265
Entity type
Individual (NPI-1)
Name
Mausaminben Yunusali Hathidara
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2015
Certification date
Jun 9, 2025
Last updated
Jun 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084V0102X Psychiatry & Neurology, Vascular NeurologyMD46944PAYes

Practice location

501 Howard Ave Ste E3
Altoona, PA 16601-4817

Phone 814-889-3930

Mailing address

101 Ne 53rd St Apt 2709
Oklahoma City, OK 73105-1862

Phone 832-781-9433

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