Syed R. Mumtaz in Fort Wayne - Child & Adolescent Psychiatry
Syed R. Mumtaz - NPI 1396718573
Syed R. Mumtaz is a Child & Adolescent Psychiatry in Fort Wayne, Indiana. Syed R. Mumtaz practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Syed R. Mumtaz is 1396718573. The last update date is 2012-04-23.
Syed R. Mumtaz's current location address is 909 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604812700 and fax number 2604812717. The mailing address for Syed R. Mumtaz is 909 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Syed R. Mumtaz |
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Address | 909 E State Blvd, Fort Wayne, Indiana |
Phone Number | 2604812700 |
Fax Number | 2604812717 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1396718573 |
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Provider Enumeration Date | 2006-02-09 |
Last Updated Date | 2012-04-23 |
Provider Mailing Address Detail
Address | 909 E State Blvd |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468053404 |
Phone Number | 2604812700 |
Fax Number | 2604812717 |
Provider's Primary Taxonomy Detail
Speciality | Child & Adolescent Psychiatry |
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Taxonomy | 2084P0804X |
Licence No | 01049582A |
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200224110 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Syed R. Mumtaz by the Centers for Medicare & Medicaid Services?
The Syed R. Mumtaz has been assigned the NPI (National Provider Identifier) 1396718573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Syed R. Mumtaz?
The Syed R. Mumtaz is physically situated at 909 E State Blvd, in the city of Fort Wayne, state of IN, with the postal code 468053404.
What is Syed R. Mumtaz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Syed R. Mumtaz's specialized field of practice is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396718573 to Syed R. Mumtaz?
The Centers for Medicare & Medicaid Services originally issued the 1396718573 to Syed R. Mumtaz on 2006-02-09.
As of what date were the details pertaining to Syed R. Mumtaz last refreshed?
The information related to the Syed R. Mumtaz, including its address, specialty, and other relevant details, was last updated on 2012-04-23.
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