Provider Demographics
NPI:1952366445
Name:NAJI, MUHAMMAD G (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:G
Last Name:NAJI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602
Mailing Address - Country:US
Mailing Address - Phone:814-946-8998
Mailing Address - Fax:814-943-2958
Practice Address - Street 1:1400 LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602
Practice Address - Country:US
Practice Address - Phone:814-946-8998
Practice Address - Fax:814-943-2958
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD053201L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014803670001Medicaid
1023717OtherRR MEDICARE
F86635Medicare UPIN
PA0014803670001Medicaid