Mohiuddin, Ishtiaque Hossain
Mohiuddin, Ishtiaque Hossain is an individual health care provider with primary practice located at 5405 S 500 E Ste 204 , Ogden UT 84405-7420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mohiuddin, Ishtiaque Hossain can be contacted via phone (801) 479-0184.Contact Information
Primary practice address
5405 S 500 E Ste 204
Ogden UT 84405-7420
Phone: (801) 479-0184
Fax: (801) 479-5642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | TP312 | Kentucky |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A067466 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME108828 | Florida |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 200400922 | North Carolina |
Profile Details
| NPI number | 1114969433 |
|---|---|
| LBN Legal business name | Mohiuddin, Ishtiaque Hossain |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | May 19th, 2020 - about 4 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 | 1114969433 | NPPES |
| North Carolina | MEDICAID | 89137WJ |
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