Mr Mohammad I Mohiuddin I, RSA,CSA is a
Specialist/technologist, Other - Surgical Assistant based in Lombard, Illinois. Mr Mohammad I Mohiuddin I is licensed to practice in Illinois (license number 238.000180) and his current practice location is
208 Westmore Meyers Rd, Lombard, Illinois. He can be reached at his office (for appointments etc.) via phone at
(630) 935-2118.
NPI number for Mr Mohammad I Mohiuddin I is 1619223716 and his current mailing address is 208 Westmore Meyers Rd, Lombard, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619223716.
Provider's Profile
Full Name | Mr Mohammad I Mohiuddin I |
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Gender | Male |
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Speciality | Specialist/technologist, Other - Surgical Assistant |
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Location | 208 Westmore Meyers Rd, Lombard, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619223716
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 10/15/2015
Medical Identifiers
Medical identifiers for Mr Mohammad I Mohiuddin I such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619223716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AS0400X | Physician Assistant - Surgical | 238.000180 (Illinois) | Secondary |
246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 238.000180 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mohammad I Mohiuddin I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Mohammad I Mohiuddin I, RSA,CSA 208 Westmore Meyers Rd, Lombard, IL 60148-3041 Ph: (630) 935-2118 | Mr Mohammad I Mohiuddin I, RSA,CSA 208 Westmore Meyers Rd, Lombard, IL 60148-3041 Ph: (630) 935-2118 |
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