MR. MUIZ ABDUL LATIF PA NPI 1861585739

NPI Information

NPI: 1861585739
Provider Name: MR. MUIZ ABDUL LATIF, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
950 CAMPBELL AVE
SURGICAL SERVICE/112
WEST HAVEN, CT
ZIP 06516
Phone: (203) 932-5711
Get Directions

MR. Muiz Abdul Latif, PA is a surgical physician assistant in West Haven, CT. MR. Muiz Abdul Latif, PA NPI is 1861585739. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

950 CAMPBELL AVE
SURGICAL SERVICE/112
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711
Fax: (203) 937-3845

The NPI 1861585739 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	001648	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001648	OTHER	CONNECTICUT	PA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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