Individual
DR. ISHTIAQUE HOSSAIN MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2936 N ELM ST STE 102, LUMBERTON, NC 28358-2981
(910) 671-6619
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(984) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
200400922
NC
207RC0000X
Cardiovascular Disease Physician
A067466
CA
207RC0000X
Cardiovascular Disease Physician
TP312
KY
208M00000X
Hospitalist Physician
ME108828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137WJ
—
NC
Enumeration date
06/12/2006
Last updated
01/31/2025
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