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Organization
MOHYUDDIN MEDICAL CENTER LTD
Active
Organization
MOHYUDDIN MEDICAL CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SADIQ MOHYUDDIN M. D. (DOCTOR)
(618) 466-3232
Entity
Organization
Contact information
Practice address
1309 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1686
(618) 466-3232
(618) 466-1950
Mailing address
1309 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1686
(618) 466-3232
(618) 466-1950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036043179
—
IL
Enumeration date
03/22/2010
Last updated
07/16/2015
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