Provider / Organization | NPI | Date Certified |
---|---|---|
NINA AYSHA MUHAMMAD | 1437422136 | 2021-12-20 |
Nina Aysha Muhammad is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437422136. Registration indicates Nina Aysha Muhammad is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Pediatrics: Pediatric Emergency Medicine, ) (Specialist Network, ) (Pediatrics Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians) (Pediatrics, )
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Nina Aysha Muhammad D.O. |
Practice Office Address | 4440 W 95TH ST OAK LAWN, IL US |
Practice Office Telephone | 7086844077 |
Mailing Address | 4440 W 95TH ST STE 1320M OAK LAWN, IL 604532600 US |
Business Telephone | 7086844077 |
FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
Direct Messaging Address [] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
2080P0204X PRIMARY | Allopathic & Osteopathic Physicians Pediatrics Pediatrics: Pediatric Emergency Medicine Specialist Network Pediatrics Pediatric Emergency Medicine Allopathic & Osteopathic Physicians Pediatrics | 036137637
IL |
1437422136 | MEDICAID | WI |