| Provider / Organization | NPI | Date Certified |
|---|---|---|
| WAJAHAT HUMAYUN | 1881009348 | 2023-02-11 |
Wajahat Humayun [M] graduated in 2012 and primarily specializes in Internal Medicine.
Wajahat Humayun is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1881009348. Registration indicates Wajahat Humayun is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) Access to Cardiologists (Allopathic & Osteopathic Physicians, Internal Medicine) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Interventional Cardiology, ) (Specialist Network, ) (Internal Medicine Interventional Cardiology, Allopathic & Osteopathic Physicians) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Hospitalist) (Hospitalist, ) (All Other Specialties & Provider Types, ) (Hospitalist, Allopathic & Osteopathic Physicians)
| PECOS ID | 2264650282 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Wajahat Humayun M.D. |
| Practice Office Address | 2160 S 1ST AVE MAYWOOD, IL US |
| Practice Office Telephone | 7082165911 |
| Mailing Address | 2160 S 1ST AVE MAYWOOD, IL 601533328 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1200 Old York Rd | Abington, PA 190013720 | 2154812222 / 2154813411 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 036.160040
IL |
| 207RI0011X | Access to Cardiologists Allopathic & Osteopathic Physicians Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Interventional Cardiology Specialist Network Internal Medicine Interventional Cardiology Allopathic & Osteopathic Physicians Internal Medicine | 036.160040
IL |
| 208M00000X PRIMARY | Allopathic & Osteopathic Physicians Hospitalist Hospitalist All Other Specialties & Provider Types Hospitalist Allopathic & Osteopathic Physicians | 036.160040
IL |
| 103267796 | MEDICAID | PA |