Individual
MUHAMMAD I MASROOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Mailing address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063451A
IN
207R00000X
Internal Medicine Physician
36658
KY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
01063451A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
36658
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200920270
—
IN
05
—
64052954
—
KY
Enumeration date
06/24/2005
Last updated
08/20/2020
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