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Individual
IHSIN MOO
Active
Individual
IHSIN MOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0024165531
VA
363L00000X
Nurse Practitioner
Primary
4704280593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8955531
—
VA
Enumeration date
05/11/2006
Last updated
12/09/2025
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