MOHAMMED MOINUDDIN (NPI# 1134234529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134234529 |
| Entity Type | Individual |
| Full Name | MOHAMMED MOINUDDIN |
| Credential | MD |
| Practice Address |
6019 Walnut Grove Memphis TN 38120 |
| Mailing Address |
Po Box 2121 Memphis TN 38159 |
| Practice Telephone | 9013838860 |
| Practice Fax Number | 9013831194 |
| Mailing Telephone | 9013838860 |
| Mailing Fax Number | 9013838985 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
7563 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3037147 | 05 | |
| AR | BCBS | 86221 | 01 |
| MS | 00116595 | 05 | |
| TN | BCBS | 53215 | 01 |
| Street Address |
6019 WALNUT GROVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306951702 | Allen Tonkin | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1902926264 | Scott David Didier | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2007-03-30 |
| 1639272164 | Robert J Optican | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-09-07 |
| 1982707410 | Dexter Witte IIi | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-09-07 |
| 1588779987 | Virginia Savastano Owen | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1205941606 | Timothy C Nauert | Radiology | 6019 Walnut Grove, Memphis, TN 38159 | 2006-08-19 |
| 1578678975 | Lloyd R Thomas Jr. | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1285749689 | Joe R Krisle Jr. | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1467567875 | Daniel J Becker | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| 1376658781 | Randy J Horras | Radiology | 6019 Walnut Grove, Memphis, TN 38120 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350514 | Memphis Radiological, PC | Radiology | 1388 Madison Ave, Memphis, TN 38104-2327 | 2005-07-20 |
| 1659338861 | James W Langston | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780877035 | Caney Fork Radiology, Pllc | Radiology | 200 Signature Pl, Lebanon, TN 37087-3281 | 2007-08-21 |
| 1891735247 | Association of University Radiologists, PC | Radiology | 11440 Parkside Dr Ste 204, Knoxville, TN 37934-2658 | 2006-06-07 |
| 1023008943 | Jerry M Brown | Radiology | 507 Rocky Top Dr, Columbia, TN 38401-2563 | 2005-10-21 |
| 1134122310 | Gary T Smith | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2005-05-23 |
| 1679614440 | Association of University Radiologists, PC | Radiology | 851 Locust St, Rogersville, TN 37857-2407 | 2007-02-12 |
| 1679620561 | Chirayu Shah | Radiology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2637 | 2007-01-04 |
| 1851478747 | Beata Panzegrau | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203-1606 | 2006-11-01 |
| 1619088697 | Association of University Radiologists, PC | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-08-31 |
| 1114998366 | Yong C Bradley | Radiology | 1924 Alcoa Hwy, Knoxville, TN 37920-1511 | 2006-01-27 |
| 1154391852 | Stephanie E Spottswood | Radiology | 2200 Childrens Way, Ste 1418, Nashville, TN 37232-9700 | 2006-01-25 |
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| 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.