DR. SAMAH O MOHIUDDIN (NPI# 1336455112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336455112 |
| Entity Type | Individual |
| Full Name | DR. SAMAH O MOHIUDDIN |
| Credential | MD |
| Practice Address |
1340 Washington St Watertown NY 13601-4541 |
| Mailing Address |
445 Factory St Watertown NY 13601-2729 |
| Practice Telephone | 3157829003 |
| Practice Fax Number | 3157829010 |
| Mailing Telephone | 3157824207 |
| Mailing Fax Number | 3157828699 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
266512-01 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
266512 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | PENDING | 01 |
| NY | 03283901 | 05 | |
| FL | COMMERCIAL INSURANCE | PENDING | 01 |
| NY | COMMERCIAL | PENDING | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 220 Herald Pl Ste D, Syracuse, NY 132021045 | 3154740240 | |
| 5901 Colonial Dr Ste 108, Margate, FL 330635672 | 3154740240 |
| Street Address |
1340 WASHINGTON ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538163985 | Richard G Sherry | Radiology | 1340 Washington St, Watertown, NY 13601-4541 | 2005-06-13 |
| 1659987402 | Jeffrey Lawrence Levine | Dentist | 1340 Washington St, Watertown, NY 13601-4541 | 2020-09-17 |
| 1699229062 | Dental Devices, PC | Dentist | 1340 Washington St, Watertown, NY 13601-4541 | 2016-08-15 |
| 1124435607 | Rg Sherry Md, Pllc | Radiology | 1340 Washington St, Watertown, NY 13601-4541 | 2014-07-17 |
| 1992010508 | Sarah Latif | Dentist | 1340 Washington St, Watertown, NY 13601-4541 | 2010-08-09 |
| 1225287311 | Sundus Latif | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601-4541 | 2008-09-12 |
| 1871781534 | Farook J Kidwai Md PC | Specialist | 1340 Washington St, Watertown, NY 13601-4541 | 2007-10-09 |
| 1093912909 | Mohsin Ali | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601-4541 | 2007-07-03 |
| 1871535948 | Abdul Latif | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601 | 2006-06-12 |
| 1447206495 | North Country Neurology PC | Neuromusculoskeletal Medicine & OMM | 1340 Washington St, Watertown, NY 13601-4541 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245518786 | Fahd Rawra | Psychiatry & Neurology | 830 Washington St, Watertown, NY 13601-4034 | 2011-08-02 |
| 1669618781 | Watertown Regional Medical Center, Inc | Psychiatry & Neurology | 123 Hospital Dr, Ste 2002, Watertown, WI 53098-3331 | 2008-12-18 |
| 1225287311 | Sundus Latif | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601-4541 | 2008-09-12 |
| 1093912909 | Mohsin Ali | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601-4541 | 2007-07-03 |
| 1871535948 | Abdul Latif | Psychiatry & Neurology | 1340 Washington St, Watertown, NY 13601 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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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.