DR. MAHMOOD FATTOOH MOOSA (NPI# 1669478681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478681 |
| Entity Type | Individual |
| Full Name | DR. MAHMOOD FATTOOH MOOSA |
| Credential | M.D. |
| Practice Address |
15506 S Telegraph Rd Monroe MI 48161-5520 |
| Practice Telephone | 7346825243 |
| Practice Fax Number | 8886771987 |
| Mailing Telephone | 7346825243 |
| Mailing Fax Number | 8886771987 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2011-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
35067199 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2158454 | 05 |
| Street Address |
15506 S TELEGRAPH RD |
| City | MONROE |
| State | MI |
| Zip Code | 48161-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528587615 | Lane Bernice Judge | Nurse Practitioner | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2017-09-11 |
| 1558640961 | Leah Summer Jaroscak | Nurse Practitioner | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2011-08-16 |
| 1811125644 | Endocrine Specialists, P.C. | Internal Medicine | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2009-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980967 | James Abrams | Behavior Technician | 2086 South Custer Road, Monroe, MI 48161 | 2019-03-11 |
| 1457841504 | Teresa Anne Clark-jones | Health Educator | Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 | 2018-05-15 |
| 1174045215 | Ariane E Combs | Counselor | 25 S. Monroe Street, Suite 205, Monroe, MI 48161 | 2017-07-11 |
| 1518341650 | Jennifer Statler | Physical Therapist | 1380 Lake Dr, Unit B, Monroe, MI 48161 | 2015-07-18 |
| 1811376742 | Rainbow Center of Michigan, Inc | Community/Behavioral Health | 14733 S. Telegraph Rd, Monroe, MI 48161 | 2015-05-26 |
| 1356743371 | Samantha Rose Dehring | Counselor | Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 | 2014-09-22 |
| 1598105074 | Busharat Ahmad | Ophthalmology | 774 Windsor Court, Monroe, MI 48161 | 2013-06-28 |
| 1225371032 | Anissa Castelluzzo | Nurse Practitioner | 975 S Monroe St Ste C, Monroe, MI 48161 | 2013-03-29 |
| 1811256274 | Paul Mikels Lmsw LLC | Social Worker | 986 S. Telegraph Rd, Monroe, MI 48161 | 2012-05-04 |
| 1225306798 | Paula Stanifer | Counselor | 14930 Laplaisance Rd #123, Monroe, MI 48161 | 2011-12-12 |
| Find all providers in zip 48161 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396706271 | Uma Rangaraj | Internal Medicine | 3402 Magnolia Cove, Monroe, LA 71203 | 2006-03-30 |
| 1801302492 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 | 2017-12-19 |
| 1750607602 | Nicholas Alexander Avitabile | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2010-04-18 |
| 1811125644 | Endocrine Specialists, P.C. | Internal Medicine | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2009-07-01 |
| 1598999484 | Ila Khanna | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2009-05-07 |
| 1861636540 | Mercy Memorial Hospital Corporation | Internal Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2009-04-27 |
| 1578706859 | Poonam Sood | Internal Medicine | 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 | 2009-04-15 |
| 1841383221 | Mohammad Mousa | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1629161005 | Southern Endocrinology Center | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1902857634 | Paul A Bekx | Internal Medicine | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-05-15 |
| Find all providers in MONROE | ||||
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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.