Provider Demographics
NPI:1982691622
Name:MUFTI, NAGHMA SHIREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGHMA
Middle Name:SHIREEN
Last Name:MUFTI
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:PO BOX 15037
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47716-0037
Mailing Address - Country:US
Mailing Address - Phone:812-492-1960
Mailing Address - Fax:
Practice Address - Street 1:4233 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-8900
Practice Address - Country:US
Practice Address - Phone:812-477-1560
Practice Address - Fax:812-477-1595
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01054101A2084N0400X
KY374472084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00309220OtherRAILROAD MEDICARE
IN200495640Medicaid
KY64053705Medicaid
KY64053705Medicaid
H67360Medicare UPIN
KY0997401Medicare PIN