Individual
IMRAN TAJ MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16701 CREEK BEND DR STE 300, SUGAR LAND, TX 77478-4590
(281) 302-6292
Mailing address
16701 CREEK BEND DR STE 300, SUGAR LAND, TX 77478-4590
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
K8665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161427305
—
TX
01
—
8W8513
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/11/2006
Last updated
10/31/2025
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