Mustafa Mohammed Moazam (NPI# 1306987474, PAC ID# 0648329755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1306987474 |
| PAC ID by PECOS | 0648329755 |
| Professional Enrollment ID | I20101005000250 |
| Full Name | Mustafa Mohammed Moazam |
| Address |
14470 Horizon Blvd J Horizon City TX 79928-7696 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670047 | THE HOSPITALS OF PROVIDENCE - EAST CAMPUS |
| 450024 | UNIVERSITY MEDICAL CENTER OF EL PASO |
| Address | Phone | Organization |
|---|---|---|
| 14470 Horizon Blvd J, Horizon City, TX 79928-7696 | ||
| 1161 Mall Dr, Suite C, Las Cruces, NM 88011-8193 | ||
| 1700 W 100th Ave, 101 Moazam Pa Healthy Horizons Clinic, Thornton, CO 80260-8004 |
| Street Address |
14470 HORIZON BLVD J |
| City | HORIZON CITY |
| State | TX |
| Zip | 79928-7696 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette C Griego | Nurse Practitioner | S and G Medical Services Pllc | 12350 Montwood Dr, Suite 300, El Paso, TX 79928-5695 |
| Raul Zayas | Family Medicine | S and G Medical Services Pllc | 12350 Montwood Dr, Suite 300, El Paso, TX 79928-5695 |
| Alma Gabriela Kelly | Nurse Practitioner | Epmed, Pa | 12200 Paseo Nuevo Dr, El Paso, TX 79928-5796 |
| Anette Araiza-mitro | Nurse Practitioner | Epmed, Pa | 12200 Paseo Nuevo Dr, El Paso, TX 79928-5796 |
| Antonio Baca | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Donald D Gandy | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Marco Diaz | Family Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Gabriel A Valencia | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Kenneth G Ro | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Johannes Neuendorf | Emergency Medicine | Pearsall Emergency Medicine Associates, Pa | 13600 Horizon Blvd, Suite 100, Horizon City, TX 79928-5810 |
| Find all physicians in zip 79928 | |||
| City | HORIZON CITY |
| Zip Code | 79928 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | HORIZON CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mustafa Mohammed Moazam.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.