Individual
DR. BINUSHA MOITHEENNAZIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1209 N MOUND ST, NACOGDOCHES, TX 75961-4028
(936) 585-4646
(936) 585-4645
Mailing address
PO BOX 631310, NACOGDOCHES, TX 75963-1310
(936) 585-4646
(936) 585-4645
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
N5256
TX
207RP1001X
Pulmonary Disease Physician
Primary
N5256
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
N5256
TX
Other
Enumeration date
05/05/2008
Last updated
09/12/2011
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