Moza, Shuban K
Moza, Shuban K is an individual health care provider with primary practice located at 267 Hill Rd Suite 300, Rome NY 13441-4203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Moza, Shuban K can be contacted via phone (315) 337-0202.Contact Information
Primary practice address
267 Hill Rd Suite 300
Rome NY 13441-4203
Phone: (315) 337-0202
Fax: (315) 356-4967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 119257 | New York |
Profile Details
| NPI number | 1598765042 |
|---|---|
| LBN Legal business name | Moza, Shuban K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Jan 21st, 2013 - about 11 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 | 1598765042 | NPPES |
| New York | MEDICAID | 00567620 | |
| New York | Other | C5119257 |
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