Provider Demographics
NPI:1306925201
Name:HUDA, MARIAM R (MD FAAP)
Entity type:Individual
Prefix:DR
First Name:MARIAM
Middle Name:R
Last Name:HUDA
Suffix:
Gender:F
Credentials:MD FAAP
Other - Prefix:
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Mailing Address - Street 1:6380 WETHEROLE ST
Mailing Address - Street 2:APT 25
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-897-5274
Mailing Address - Fax:718-897-5274
Practice Address - Street 1:100 N PORTLAND AVE
Practice Address - Street 2:CUMBERLAND DIAG & TREAT CENTER
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205
Practice Address - Country:US
Practice Address - Phone:718-260-7760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY146709208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics