| Aziz Mohiuddin, M.d., Llc | |
|
3227 Sunset Blvd Ste D103 West Columbia SC 29169-3201 | |
| (803) 791-1485 | |
| (803) 939-9378 |
| Full Name | Aziz Mohiuddin, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3227 Sunset Blvd Ste D103, West Columbia, South Carolina |
| Authorized Official Name and Position | Lisa Waters (OFFICE MANAGER) |
| Authorized Official Contact | 8037911485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aziz Mohiuddin, M.d., Llc 3227 Sunset Blvd Ste D103 West Columbia SC 29169-3201 Ph: (803) 791-1485 | Aziz Mohiuddin, M.d., Llc 3227 Sunset Blvd Ste D103 West Columbia SC 29169-3201 Ph: (803) 791-1485 |
| NPI Number | 1265175673 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 04/14/2022 |
| Certification Date | 04/14/2022 |
| Medicare PECOS PAC ID | 1658759857 |
|---|---|
| Medicare Enrollment ID | O20220531001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265175673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Aziz Mohiuddin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982678660 PECOS PAC ID: 5395785984 Enrollment ID: I20050503000815 |
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