Mogalai, Riyazuddin S

Mogalai, Riyazuddin S is an individual health care provider with primary practice located at 430 E Division St , Fond Du Lac WI 54935-4560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Mogalai, Riyazuddin S can be contacted via phone (260) 266-2020.

Contact Information

Primary practice address
430 E Division St Fond Du Lac WI 54935-4560
Phone: (260) 266-2020
Fax: (260) 266-2009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 63783 Wisconsin
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 63783 Wisconsin

Profile Details

NPI number 1790931103
LBN Legal business name Mogalai, Riyazuddin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2008
Last updated Nov 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790931103 NPPES
Indiana Other 000000628125 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200972310 ANTHEM PROVIDER NUMBER
Indiana Other 000000748342 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 0060603 ANTHEM PROVIDER NUMBER
Indiana Other P01040162 ANTHEM PROVIDER NUMBER

Popular Providers