Provider Demographics
NPI:1235370024
Name:TIWANA, HUMMA ISHAQ (MD)
Entity Type:Individual
Prefix:
First Name:HUMMA
Middle Name:ISHAQ
Last Name:TIWANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3001 S HANOVER ST
Mailing Address - Street 2:GRUEHN BLDG., SUITE 301
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1233
Mailing Address - Country:US
Mailing Address - Phone:410-354-0800
Mailing Address - Fax:410-354-0847
Practice Address - Street 1:3001 S HANOVER ST
Practice Address - Street 2:GRUEHN BLDG., SUITE 301
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1233
Practice Address - Country:US
Practice Address - Phone:410-354-0800
Practice Address - Fax:410-354-0847
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD68575207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology