Moinuddin, Mohammed

Moinuddin, Mohammed is an individual health care provider with primary practice located at 6019 Walnut Grove , Memphis TN 38120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Radiology, which is considered as his primary health care specialty. Moinuddin, Mohammed can be contacted via phone (901) 383-8860.

Contact Information

Primary practice address
6019 Walnut Grove Memphis TN 38120
Phone: (901) 383-8860
Fax: (901) 383-1194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 7563 Tennessee

Profile Details

NPI number 1134234529
LBN Legal business name Moinuddin, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134234529 NPPES
Mississippi MEDICAID 00116595
Mississippi Other 53215
Mississippi MEDICAID 3037147
Mississippi Other 86221

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