Individual
DR. ABDUL MOEZ KEYLANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
321 RICHLAND WEST CIR, WACO, TX 76712-7919
(254) 235-9355
(254) 235-0904
Mailing address
321 RICHLAND WEST CIR, WACO, TX 76712-7919
(542) 359-3552
(254) 235-0904
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
035596
CT
207RC0000X
Cardiovascular Disease Physician
43952
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
43638
TX
207RI0011X
Interventional Cardiology Physician
Primary
P6007
TX
207UN0901X
Nuclear Cardiology Physician
035596
CT
207UN0901X
Nuclear Cardiology Physician
43952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302224601
—
TX
05
—
3100398
—
OH
01
—
8DK205
BCBS
TX
01
—
P01119884
RAILROAD MEDICARE
TX
Enumeration date
05/05/2006
Last updated
08/07/2023
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