# DOUGLAS MOINUDDIN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508552225
- **Authorized official:** DOUGLAS MOINUDDIN (EMPLOYEE)
- **Authorized official phone:** (216) 533-4449

## Contact information

- **Practice address:** 28360 CENTER RIDGE RD APT 229, WESTLAKE, OH 44145-6797
- **Practice address phone:** (216) 533-4449
- **Mailing address:** PO BOX 451452, WESTLAKE, OH 44145-0639
- **Mailing address phone:** (216) 533-4449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2023
- **Last updated:** 04/14/2023