Individual
MOHAMMED MOIZUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5012 S US HIGHWAY 75 STE 205, DENISON, TX 75020-4635
(972) 674-9910
(972) 666-5959
Mailing address
1022 KENILWORTH ST, ALLEN, TX 75013-5828
(972) 674-9910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48038
WI
207RP1001X
Pulmonary Disease Physician
MD200298
LA
207RP1001X
Pulmonary Disease Physician
Primary
R7825
TX
207RP1001X
Pulmonary Disease Physician
TP061
KY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
TP061
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405865301
—
TX
Enumeration date
08/28/2006
Last updated
12/26/2024
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