Organization
AHAMED S MOIDEEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHAMED S MOIDEEN MD FACS FCCP RPVI (PRESIDENT)
(718) 359-8346
Entity
Organization
Contact information
Practice address
142 04 BAYSIDE AVE, STE 5L, FLUSHING, NY 11354-2331
(718) 359-8346
(718) 359-8342
Mailing address
142 04 BAYSIDE AVE, STE 5L, FLUSHING., NY 11354-2331
(718) 359-8346
(718) 359-8342
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
132106
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
132106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00612253
—
NY
Enumeration date
09/04/2007
Last updated
09/28/2007
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