Siebert Moazzam P C in Peoria - Thoracic Surgery (cardiothoracic Vascular Surgery)
Siebert Moazzam P C - NPI 1396780292
Siebert Moazzam P C is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Peoria, Illinois. Siebert Moazzam P C practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Siebert Moazzam P C is 1396780292. The last update date is 2011-04-12.
Siebert Moazzam P C's current location address is 401 Main Street, Peoria, Illinois. You can contact this provider via phone number 3096718749. The mailing address for Siebert Moazzam P C is 401 Main Street, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Siebert Moazzam P C |
|---|---|
| Address | 401 Main Street, Peoria, Illinois |
| Phone Number | 3096718749 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Siebert A Paul |
| Credentials | MD |
| Telephone Number | 3093531833 |
NPI Number Detail
| NPI Number | 1396780292 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2011-04-12 |
Provider Mailing Address Detail
| Address | 401 Main Street |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616021242 |
| Phone Number | 3096718749 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 36101798 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Siebert Moazzam P C?
The Siebert Moazzam P C has been issued the NPI (National Provider Identifier) 1396780292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Siebert Moazzam P C located?
The Siebert Moazzam P C is located at 401 Main Street, Peoria, IL 616021242.
What is the Siebert Moazzam P C's specialty and taxonomy code?
The Siebert Moazzam P C's specialty is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396780292 to Siebert Moazzam P C?
The Centers for Medicare & Medicaid Services originally issued the 1396780292 to Siebert Moazzam P C on 2006-06-17.
As of what date was the information pertaining to Siebert Moazzam P C, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Siebert Moazzam P C, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-04-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1447253448
Address: 4420 E Miraloma Ave Ste F, Anaheim, CA