Gaddor, Moataz M
Gaddor, Moataz M is an individual health care provider with primary practice located at 222 S Woods Mill Rd , Chesterfield MO 63017-3625. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Gaddor, Moataz M can be contacted via phone (314) 205-6050.Contact Information
Primary practice address
222 S Woods Mill Rd
Chesterfield MO 63017-3625
Phone: (314) 205-6050
Fax: (314) 434-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2012017419 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036153985 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036153985 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 036153985 | Illinois |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036153985 | Illinois |
Profile Details
| NPI number | 1255694600 |
|---|---|
| LBN Legal business name | Gaddor, Moataz M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2012 |
| Last updated | Sep 22nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255694600 | NPPES |
| Wisconsin | MEDICAID | 1255694600 |
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