Individual
DR. IMRAN AHMED MOINUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(440) 613-2858
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(248) 686-6255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.136489
OH
208M00000X
Hospitalist Physician
35.136489
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
08/20/2008
Last updated
07/02/2020
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