Mohyuddin Medical Center Ltd | |
1309 Dadrian Professional Park Godfrey IL 62035-1686 | |
(618) 466-3232 | |
(618) 466-1950 |
Full Name | Mohyuddin Medical Center Ltd |
---|---|
Speciality | Internal Medicine |
Location | 1309 Dadrian Professional Park, Godfrey, Illinois |
Authorized Official Name and Position | Sadiq Mohyuddin (DOCTOR) |
Authorized Official Contact | 6184663232 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mohyuddin Medical Center Ltd 1309 Dadrian Professional Park Godfrey IL 62035-1686 Ph: (618) 466-3232 | Mohyuddin Medical Center Ltd 1309 Dadrian Professional Park Godfrey IL 62035-1686 Ph: (618) 466-3232 |
NPI Number | 1730403692 |
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Provider Enumeration Date | 03/22/2010 |
Last Update Date | 07/16/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730403692 | NPI | - | NPPES |
036043179 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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Optimal Health Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1368 Dadrian Professional Park, Godfrey, IL 62035 Phone: 618-433-9701 Fax: 618-433-9706 | |
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Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1623 W Delmar Ave, Godfrey, IL 62035 Phone: 618-498-7157 |