Individual
DR. SYED SAMEER MOHIUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1180 SETON PARKWAY, SUITE 270, KYLE, TX 78640-5982
(512) 268-0800
(512) 268-0811
Mailing address
1180 SETON PARKWAY, SUITE 270, KYLE, TX 78640-5982
(512) 268-0800
(512) 268-0811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L9814
TX
208600000X
Surgery Physician
Primary
L9814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078099104
—
TX
01
—
8BZ610
BCBS
TX
01
—
8F21260
MEDICARE
TX
Enumeration date
06/01/2007
Last updated
05/18/2022
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