Humayun, Wajahat

Humayun, Wajahat is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Humayun, Wajahat can be contacted via phone (708) 216-5911.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036.160040 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036.160040 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036.160040 Illinois

Profile Details

NPI number 1881009348
LBN Legal business name Humayun, Wajahat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Feb 11th, 2023 - about 3 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 1881009348 NPPES
Pennsylvania MEDICAID 103267796

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