Aehtesham, Mariam
Aehtesham, Mariam is an individual health care provider with primary practice located at 1701 Lacey St , Cape Girardeau MO 63701-5230. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Aehtesham, Mariam can be contacted via phone (573) 334-4822.Contact Information
Primary practice address
1701 Lacey St
Cape Girardeau MO 63701-5230
Phone: (573) 334-4822
Fax: (573) 986-5984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2019022983 | Missouri |
Profile Details
| NPI number | 1033561170 |
|---|---|
| LBN Legal business name | Aehtesham, Mariam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2016 |
| Last updated | Jul 3rd, 2019 - about 7 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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