Provider Demographics
NPI:1164697041
Name:IMRAN, UZMA (MD)
Entity Type:Individual
Prefix:
First Name:UZMA
Middle Name:
Last Name:IMRAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 EAST 21ST STREET
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067
Mailing Address - Country:US
Mailing Address - Phone:610-262-1519
Mailing Address - Fax:610-262-7125
Practice Address - Street 1:602 E 21ST ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1259
Practice Address - Country:US
Practice Address - Phone:610-262-1519
Practice Address - Fax:610-262-7125
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08972500207Q00000X
PAMD443765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine