Individual
DR. SYED A MOQEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 OAK ST, STE 645, CINCINNATI, OH 45206-1613
(513) 569-6780
(513) 789-8491
Mailing address
PO BOX 638196, CINCINNATI, OH 45263-8196
(513) 569-6780
(513) 789-8491
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-067595
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35-067595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103408
—
OH
05
—
200293560 A
—
IN
05
—
64047707
—
KY
01
—
P00004639
RR MEDICARE
OH
Enumeration date
02/24/2006
Last updated
04/10/2013
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