Healthcare Provider Details

I. General information

NPI: 1003370180
Provider Name (Legal Business Name): HIBA UTHMAN MUHTASIB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2019
Last Update Date: 01/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILLA 26, JAFFILYA
DUBAI FOREIGN
04042
AE

IV. Provider business mailing address

P.O. BOX 83350
DUBAI FOREIGN COUNTRY
04042
AE

V. Phone/Fax

Practice location:
  • Phone: 50-678-8047
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMS0591-10
License Number StateZZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: