Healthcare Provider Details

I. General information

NPI: 1871783761
Provider Name (Legal Business Name): MUHAMMAD IKRAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2007
Last Update Date: 01/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3459 5TH AVE UPMC MONTEFIORE, 7 SOUTH
PITTSBURGH PA
15213-3236
US

IV. Provider business mailing address

3459 5TH AVE UPMC MONTEFIORE, 7 SOUTH
PITTSBURGH PA
15213-3236
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-5173
  • Fax:
Mailing address:
  • Phone: 412-647-5173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberLT000769
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: