Individual
DR. ABDUL MOIZ HAFIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7877
Mailing address
PO BOX 19627, SPRINGFIELD, IL 62794-9627
(217) 545-8000
(217) 545-7877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036141952
IL
207RI0011X
Interventional Cardiology Physician
Primary
036141952
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036141952
—
IL
Enumeration date
05/10/2012
Last updated
10/26/2020
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