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NPI Code Detail

MEDICARE: AYESHA WAHAB M.D

MEDICARE:   AYESHA  WAHAB  M.D
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 PhysicianMD438247PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295924348
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYESHA WAHAB M.D
Provider Business Mailing Address
First Line : PO BOX 13579
Second Line :
City : READING
State : PA
Zip : 19612-3579
Country : US
Telephone Number : 484-628-0799
Fax Number :
Provider Business Practice Location Address
First Line : 3703 PERKIOMEN AVE
Second Line :
City : READING
State : PA
Zip : 19606-2714
Country : US
Telephone Number : 610-898-7570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 08/10/2018

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Directions to “ AYESHA WAHAB M.D” Practice Location

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