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
Fax: (315) 356-4967
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598765042 NPPES
New York MEDICAID 00567620
New York Other C5119257

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