Imtiaz Imam, DO

NPI #1376333732 in Darby, Pennsylvania

Provider Information

NPI Number: 1376333732
Entity Type: Individual
Name: Imtiaz Imam, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: May 8, 2025
Last Updated: May 8, 2025

Practice Location

Address: 1500 LANSDOWNE AVE
City: Darby
State: Pennsylvania
ZIP Code: 19023-1200
Phone: (610) 237-4684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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