Provider Demographics
NPI:1689228645
Name:GHUMMAN, AMMARA EJAZ (MD , FRCSC)
Entity Type:Individual
Prefix:
First Name:AMMARA
Middle Name:EJAZ
Last Name:GHUMMAN
Suffix:
Gender:F
Credentials:MD , FRCSC
Other - Prefix:
Other - First Name:AMMARA
Other - Middle Name:
Other - Last Name:EJAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19B NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:LEAMINGTON
Mailing Address - State:ON
Mailing Address - Zip Code:N8H 4R1
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1161 NW 12 AVENUE
Practice Address - Street 2:C/O PLASTIC SURGERY DEPARTMENT- HAND SURGERY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-333-1037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program