Mutahera Mazhar, MD
Pediatrics in Bronx, NY. Individual provider (NPI-1).
NPI number1790367282
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1790367282
- Entity type
- Individual (NPI-1)
- Name
- Mutahera Mazhar
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2021
- Certification date
- Jul 15, 2024
- Last updated
- Jul 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 331723 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
459 E 149th St Ste 202Bronx, NY 10455-1789
Phone 855-681-8700
Mailing address
6555 Broadway Apt 4hBronx, NY 10471-2006
Phone 718-790-6659
Other practice locations
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