MASARRATH JAHAN MOINUDDIN


Address: 232 Maeve Ct, Ballwin, MO 63021-7944
Phone: 6365275959

MASARRATH JAHAN MOINUDDIN (NPI# 1851596209) 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) 1851596209
Entity Type Individual
Full Name MASARRATH JAHAN MOINUDDIN
Other Name MASARRATH JAHAN MOINUDDIN
Practice Address 232 Maeve Ct
Ballwin
MO 63021-7944
Mailing Address 3999 Richmond Rd
Beachwood
OH 44122-6046
Practice Telephone 6365275959
Mailing Telephone 2165935500
Enumeration Date 2007-06-17
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
2006015222 MO Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
35087013 OH Allopathic & Osteopathic Physicians

Office Location

Street Address 232 MAEVE CT
City BALLWIN
State MO
Zip Code 63021-7944

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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 state

NPI Name Taxonomy Address Enumeration
1689128019 Midwest Heart Institute Internal Medicine 1439 Us Highway 61, Ste A, Festus, MO 63028-4153 2016-08-15
1477984292 Robert A. Brinkman, M.d., LLC. Internal Medicine 1040 N Mason Rd Ste 211, Creve Coeur, MO 63141 2013-12-04
1528407822 Justin Patrick Sheehy Internal Medicine 4401 Wornall Rd Fl 9, Kansas City, MO 64111-3220 2013-06-19
1952643520 Meritas Health Corporation Internal Medicine 5501 Nw 62nd Ter Ste 201, Kansas City, MO 64151-2408 2013-03-21
1043557150 Ronald Nathan Riner Internal Medicine 9847 Waterbury Drive, St. Louis, MO 63124 2013-01-09
1427315423 Paul Larsen Internal Medicine 1027 Bellevue Ave Ste 200, Saint Louis, MO 63117-1851 2012-04-13
1275899718 Bradley Carl Witbrodt Internal Medicine 3023 N Ballas Rd Ste 200, Saint Louis, MO 63131-2330 2012-04-10
1194004952 Jad Raffoul Internal Medicine 1402 S Grand Blvd Fl 14, Saint Louis, MO 63104-1004 2011-08-11
1376839894 Chetan P Huded Internal Medicine 5844 Nw Barry Rd Ste 230, Kansas City, MO 64154-1421 2011-06-22
1982999462 Philip L Mar Internal Medicine 3635 Vista Ave Fl 15, Saint Louis, MO 63110-2539 2011-06-13
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Competitor

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City BALLWIN
Zip Code 63021

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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