Provider Demographics
NPI:1659483600
Name:MUGHAL, NADEEM ARSHAD (MD)
Entity Type:Individual
Prefix:DR
First Name:NADEEM
Middle Name:ARSHAD
Last Name:MUGHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2 E 22ND ST STE 110
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-6100
Mailing Address - Country:US
Mailing Address - Phone:630-376-3617
Mailing Address - Fax:630-376-6319
Practice Address - Street 1:2 E 22ND ST STE 110
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-6100
Practice Address - Country:US
Practice Address - Phone:630-376-3617
Practice Address - Fax:630-376-6319
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-090366207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine