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Individual
MR. KHAJA MOINUDDEEN
Active
Individual
MR. KHAJA MOINUDDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21707
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
N0286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299860102
—
TX
05
—
3810001306
—
WV
Enumeration date
01/11/2006
Last updated
01/28/2022
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