1326445487 NPI number — AYESHA MUQUIM M.D

Table of content: AYESHA MUQUIM M.D (NPI 1326445487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326445487 NPI number — AYESHA MUQUIM M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MUQUIM
Provider First Name:
AYESHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326445487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
400 COLUMBUS AVE
Provider Second Line Business Mailing Address:
CREDENTIALING
Provider Business Mailing Address City Name:
NEW HAVEN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06519-1233
Provider Business Mailing Address Country Code:
PK
Provider Business Mailing Address Telephone Number:
203-503-3174
Provider Business Mailing Address Fax Number:
203-503-3183

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
B-82 KDA SCHEME I -A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARACHI
Provider Business Practice Location Address State Name:
SINDH
Provider Business Practice Location Address Postal Code:
75350
Provider Business Practice Location Address Country Code:
PK
Provider Business Practice Location Address Telephone Number:
03002011086
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0804X , with the licence number:  MD051832L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: 68820 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P0800X , with the licence number: MD051832L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)