Individual
MOGHNIUDDIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 SANDERS RD STE A, CUMMING, GA 30041-5960
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0437328
KS
207RC0000X
Cardiovascular Disease Physician
Primary
98943
GA
208M00000X
Hospitalist Physician
0437328
KS
Other
Enumeration date
08/08/2011
Last updated
06/27/2024
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