Individual
DOUGLAS MOINUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28360 CENTER RIDGE RD APT 229, WESTLAKE, OH 44145-6797
(216) 533-4449
Mailing address
PO BOX 451452, WESTLAKE, OH 44145-0639
(216) 533-4449
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
35.096929
OH
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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