Moinuddin, Shamim M

Moinuddin, Shamim M is an individual health care provider with primary practice located at 7550 Wolf River Blvd Suite 200, Germantown TN 38138-1745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as her primary health care specialty. Moinuddin, Shamim M can be contacted via phone (901) 542-6801.

Contact Information

Primary practice address
7550 Wolf River Blvd Suite 200 Germantown TN 38138-1745
Phone: (901) 542-6801
Fax: (901) 542-6871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD0000008470 Tennessee

Profile Details

NPI number 1073543955
LBN Legal business name Moinuddin, Shamim M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Dec 9th, 2008 - about 17 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 1073543955 NPPES
Arkansas MEDICAID 113603001
Arkansas MEDICAID 000000004177
Arkansas Other 3022978
Arkansas Other 98074
Arkansas MEDICAID 3041280
Arkansas MEDICAID 0016401
Arkansas MEDICAID 202407102
Arkansas MEDICAID 3022978

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