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NPI Code Detail

MEDICARE: AQIYLA MUHAMMAD MD

MEDICARE: AQIYLA MUHAMMAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMT185801PA
2207Q00000XFamily Medicine PhysicianMD433327PA

General Provider Information

NPI Number : 1174685689
Entity Type Code : Individual
Provider Name (Legal Business Name) : AQIYLA MUHAMMAD MD
Provider Business Mailing Address
First Line : 5201 HAVERFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-1401
Country : US
Telephone Number : 215-472-6096
Fax Number :
Provider Business Practice Location Address
First Line : 5201 HAVERFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-1401
Country : US
Telephone Number : 215-472-6096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 09/07/2013

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