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Individual

MORAN AMIT

Active
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Individual

MORAN AMIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
46350
TX
207Y00000X
Otolaryngology Physician
BP10055482
TX
207Y00000X
Otolaryngology Physician
Primary
S1750
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428757501
TX
01
428757502
MEDICAID CSHCN
TX
01
8PL573
BCBS
TX
01
Q00119462
RAILROAD MEDICARE
TX
Enumeration date
04/17/2018
Last updated
10/28/2021
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