Individual
DR. MOHAMED MOATAZ TOBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223
(270) 412-5122
Mailing address
2524 22ND ST, FORT CAMPBELL, KY 42223-5562
(270) 412-5183
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME98765
FL
207RP1001X
Pulmonary Disease Physician
Primary
15230
TN
207RP1001X
Pulmonary Disease Physician
ME 98765
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME98765
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003136700
—
FL
01
—
14AA3
BCBS OF FL
FL
01
—
P00921814
RAILROAD MEDICARE
FL
Enumeration date
01/11/2007
Last updated
06/19/2025
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