Provider Demographics
NPI:1518195551
Name:MUMUNI, NEHDIA-UT-ZUHRA (MD)
Entity Type:Individual
Prefix:MISS
First Name:NEHDIA-UT-ZUHRA
Middle Name:
Last Name:MUMUNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:NEHDIA
Other - Middle Name:
Other - Last Name:MUMUNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:23 PIERSIDE DR APT 338
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-5470
Mailing Address - Country:US
Mailing Address - Phone:469-583-0851
Mailing Address - Fax:
Practice Address - Street 1:10 N GREENE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1524
Practice Address - Country:US
Practice Address - Phone:410-605-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2020-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP5848207L00000X
TXBP10034241207L00000X
MDD0076194207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology