Individual
MOHAMMED KAZIMUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC FSCAI
Contact information
Practice address
825 SECOND AVE, STE B1, BOWLING GREEN, KY 42101
(270) 782-0151
(270) 782-7528
Mailing address
825 SECOND AVE, STE B1, BOWLING GREEN, KY 42101
(270) 782-0151
(270) 782-7528
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
36951
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64044613
—
KY
Enumeration date
07/19/2005
Last updated
09/26/2014
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