Individual
DR. MOHAMMED ATIQ DADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL CENTER CT STE 100, BAY CITY, TX 77414-4733
(979) 245-2421
(979) 245-6263
Mailing address
PO BOX 2660, BAY CITY, TX 77404-2660
(979) 245-2421
(979) 245-6263
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04221
CT
207R00000X
Internal Medicine Physician
M9236
TX
207RN0300X
Nephrology Physician
Primary
M9236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0068RE
BCBS (INDIVIDUAL)
TX
01
—
8BJ820
BCBS (INV IN GROUP)
TX
Enumeration date
12/30/2005
Last updated
08/14/2023
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