DR. ISHTIAQUE HOSSAIN MOHIUDDIN


Address: 5405 S 500 E Ste 204, Ogden, UT 84405-7420
Phone: 8014790184

DR. ISHTIAQUE HOSSAIN MOHIUDDIN (NPI# 1114969433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114969433
Entity Type Individual
Full Name DR. ISHTIAQUE HOSSAIN MOHIUDDIN
Other Name ISHTIAQUE H MOHIUDDIN
Practice Address 5405 S 500 E Ste 204
Ogden
UT 84405-7420
Mailing Address Po Box 741729
Atlanta
GA 30374-1729
Practice Telephone 8014790184
Practice Fax Number 8014795642
Enumeration Date 2006-06-12
Last Update Date 2020-05-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
TP312 KY Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
A067466 CA Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
200400922 NC Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist ME108828 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 89137WJ 05

Office Location

Street Address 5405 S 500 E STE 204
City OGDEN
State UT
Zip Code 84405-7420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902450687 Jace Nye Nurse Practitioner 5405 S 500 E Ste 204, Ogden, UT 84405-7420 2019-07-30
1598994659 Shyla Narasimhan Sachdev Internal Medicine 5405 S 500 E Ste 204, Ogden, UT 84405 2009-07-10
1235330382 Sohail Khan Internal Medicine 5405 S 500 E Ste 204, Ogden, UT 84405-7420 2007-05-29
1710010343 Arabindra Bahadur Katwal Internal Medicine 5405 S 500 E Ste 204, Ogden, UT 84405-7420 2007-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669028171 Alyssa House Behavioral Analyst 4933 1500 West #110, Riverdale, UT 84405 2019-08-12
1518525989 Petersen Farms Assisted Living & Memory Care Assisted Living Facility 6980 S. 475 E., South Weber, UT 84405 2019-05-31
1376038141 National Vision, Inc. Technician/Technologist 821 West Riverdale Road, Riverdale, UT 84405 2018-06-25
1194218461 South Weber City Ambulance 7365 S 1375 E, South Weber, UT 84405 2018-06-12
1528572682 Sandra Jo Scott Dental Hygienist 264 W Ridgeline Dr, Washington Terrace, UT 84405 2017-11-28
1376079061 Loretta Shupe Registered Nurse 5319 S 500 E, Ogden, UT 84405 2017-05-02
1134661374 Randy Ferrin Registered Nurse 5697 Maplewood Drive, South Ogden, UT 84405 2016-11-04
1871046284 Karla Rosen Counselor 5202 S. Freeway Park Dr., Riverdale, UT 84405 2016-08-02
1053784520 Jenifer Rebecca Nilson Smith Physical Therapist 5648 S. Adams Ave, Washington Terrace, UT 84405 2015-11-05
1972976454 Jenniferlyn Fletcher Physical Therapy Assistant 5648 South Adams Ave, Washington Terrace, UT 84405 2015-11-05
Find all providers in zip 84405

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427233402 Richard White Internal Medicine 5028 Skyline Dr, Ogden, UT 84403-1423 2008-01-08
1427237007 Saima Husain Internal Medicine 4403 Harrison Blvd Ste 3430, Ogden, UT 84403 2007-10-30
1326043472 Dan Dan Internal Medicine 4403 Harrison Blvd Ste 3450, Ogden, UT 84403 2005-06-16
1992196968 Ihc Health Services Inc Internal Medicine 4403 Harrison Blvd, Ste 3430, Ogden, UT 84403-3271 2015-02-12
1174829139 Ihc Health Services Inc Internal Medicine 4403 Harrison Blvd, Ste 3400, Ogden, UT 84403-3281 2011-02-08
1457662587 Ihc Health Services Inc Internal Medicine 4403 Harrison Blvd Ste 3450, Ogden, UT 84403-3282 2010-06-23
1598994659 Shyla Narasimhan Sachdev Internal Medicine 5405 S 500 E Ste 204, Ogden, UT 84405 2009-07-10
1982844098 Peter George Forstall Internal Medicine 5405 S 500 E, Suite 204, Ogden, UT 84405-6957 2009-03-02
1700099983 Yuri Khodakov Internal Medicine 4403 Harrison Blvd, Suite 3490, Ogden, UT 84403-3271 2007-05-07
1114055241 Ihc Health Services Inc Internal Medicine 4403 Harrison Blvd, Suite 3490, Ogden, UT 84403-3271 2007-03-01
Find all providers in OGDEN

Competitor

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City OGDEN
Zip Code 84405

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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