Individual
DR. SYED WAKERUL MOAZZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 E 13TH ST, RUSHVILLE, IN 46173-2126
(765) 932-7063
(765) 932-7065
Mailing address
1300 N MAIN ST, RUSHVILLE, IN 46173-1198
(765) 932-4111
(765) 932-7505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065525A
IN
207RR0500X
Rheumatology Physician
Primary
01065525A
IN
Other
Enumeration date
04/16/2008
Last updated
02/17/2025
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