Individual
SYED HARIS MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
4945 WILLIAMS DR, GEORGETOWN, TX 78633-2008
(512) 819-0500
Mailing address
PO BOX 844658, DALLAS, TX 75284-8446
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36003916
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
3036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351575
—
OH
Enumeration date
06/21/2016
Last updated
05/19/2023
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