Mohammed Moinuddin, MD | |
6019 Walnut Grove, Memphis, TN 38120 | |
(901) 383-8860 | |
(901) 383-1194 |
Full Name | Mohammed Moinuddin |
---|---|
Gender | Male |
Speciality | Radiology - Nuclear Radiology |
Location | 6019 Walnut Grove, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134234529 | NPI | - | NPPES |
00116595 | Medicaid | MS | |
53215 | Other | TN | BCBS |
3037147 | Medicaid | TN | |
86221 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0904X | Radiology - Nuclear Radiology | 7563 (Tennessee) | Primary |
Entity Name | Cg& T |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114322245 PECOS PAC ID: 6103143920 Enrollment ID: O20150316001097 |
Entity Name | Jnt Medical Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780072033 PECOS PAC ID: 6002134533 Enrollment ID: O20150414001264 |
Mailing Address | Practice Location Address |
---|---|
Mohammed Moinuddin, MD Po Box 2121, Memphis, TN 38159 Ph: (901) 383-8860 | Mohammed Moinuddin, MD 6019 Walnut Grove, Memphis, TN 38120 Ph: (901) 383-8860 |
Dr. Daniel Wakefield, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 920 Madison Ave, Suite 447, Memphis, TN 38103 Phone: 901-448-5814 | |
Madison H Buckley Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 50 Humphreys Ctr, Suite 23, Memphis, TN 38120 Phone: 901-226-0810 Fax: 901-383-8985 | |
Paul R Tanner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove, Memphis, TN 38120 Phone: 901-383-8860 Fax: 901-383-1194 | |
Martha E Glenn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120 Phone: 901-227-9650 | |
Matthew T. Ballo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-683-0055 Fax: 901-685-2969 | |
Terry L Thompson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-3212 | |
Stefan J Cowles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-1727 |