Mujtaba, Qaiyum

Mujtaba, Qaiyum is an individual health care provider with primary practice located at 750 Savin Ave , West Haven CT 06516-4314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mujtaba, Qaiyum can be contacted via phone (203) 931-7710.

Contact Information

Primary practice address
750 Savin Ave West Haven CT 06516-4314
Phone: (203) 931-7710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16546 Connecticut

Profile Details

NPI number 1366420184
LBN Legal business name Mujtaba, Qaiyum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Nov 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366420184 NPPES
Connecticut MEDICAID 1165463

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