Provider Demographics
NPI:1023752268
Name:MUMTAZ, NARJIS (MD)
Entity type:Individual
Prefix:
First Name:NARJIS
Middle Name:
Last Name:MUMTAZ
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 1:2799 WEST GRAND BLVD., HENRY FORD HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:DETRIOT
Mailing Address - State:MI
Mailing Address - Zip Code:48202
Mailing Address - Country:US
Mailing Address - Phone:313-916-8445
Mailing Address - Fax:313-916-9434
Practice Address - Street 1:2799 WEST GRAND BLVD., HENRY FORD HOSPITAL
Practice Address - Street 2:
Practice Address - City:DETRIOT
Practice Address - State:MI
Practice Address - Zip Code:48202
Practice Address - Country:US
Practice Address - Phone:313-916-8445
Practice Address - Fax:313-916-9434
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-25
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program