Individual
DR. MOHAMMED AZAM MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9352
Mailing address
801 GATE LN APT 412, KNOXVILLE, TN 37909-3542
(865) 856-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015643
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2007
Last updated
06/09/2021
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