Provider Demographics
NPI:1205103090
Name:AUTI, SHIFA MEHMOOD (DPT)
Entity type:Individual
Prefix:DR
First Name:SHIFA
Middle Name:MEHMOOD
Last Name:AUTI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 SOUTH ST UNIT 313
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-1860
Mailing Address - Country:US
Mailing Address - Phone:672-409-1912
Mailing Address - Fax:
Practice Address - Street 1:1352 SOUTH ST UNIT 313
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-1860
Practice Address - Country:US
Practice Address - Phone:267-240-9191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-21
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034214-1225100000X
PAPT022603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist