Nasser A Moukaddem in St Petersburg - Internal Medicine

Nasser A Moukaddem - NPI 1124008883

Nasser A Moukaddem is a Internal Medicine in St Petersburg, Florida. Nasser A Moukaddem practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Nasser A Moukaddem is 1124008883. The last update date is 2013-12-04.

Nasser A Moukaddem's current location address is 4226 Central Ave, St Petersburg, Florida. You can contact this provider via phone number 7273213915. The mailing address for Nasser A Moukaddem is 4226 Central Ave, St Petersburg, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Nasser A Moukaddem
Address 4226 Central Ave, St Petersburg, Florida
Phone Number 7273213915
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1124008883
Provider Enumeration Date 2006-01-19
Last Updated Date 2013-12-04

Provider Mailing Address Detail

Address 4226 Central Ave
City St Petersburg
State Florida (FL)
Post Code 337111140
Phone Number 7273213915
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No FLME0071447
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110189691 FL RAILROAD MEDICARE
254197100 FL --

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FAQs about Nasser A Moukaddem

What is the unique 10-digit identifier code issued to Nasser A Moukaddem by the Centers for Medicare & Medicaid Services?

The Nasser A Moukaddem has been assigned the NPI (National Provider Identifier) 1124008883 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Nasser A Moukaddem is geographically located?

The Nasser A Moukaddem is physically situated at the following location: 4226 Central Ave, St Petersburg, FL, 337111140.

What is the Nasser A Moukaddem's area of specialization and corresponding taxonomy classification?

The Nasser A Moukaddem's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date did Nasser A Moukaddem receive its 1124008883 assignment from the Centers for Medicare & Medicaid Services?

The Nasser A Moukaddem was assigned its 1124008883 on 2006-01-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Nasser A Moukaddem most recently updated or revised?

The information pertaining to Nasser A Moukaddem, including its address, specialty, and other relevant details, was last updated or revised on 2013-12-04.

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