Mohtasham Mohiuddin PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOHTASHAM MOHIUDDIN PC

Practice address

2701 W 68TH St
Chicago, IL 60629-1813

Phone

(773) 884-9000

NPI assigned

May 12, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohtasham M Mohiuddin, MDNPI 1518166461

Title

President

Phone

(718) 440-1826

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohtasham Muhammed Mohiuddin, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1518166461
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1194136291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 WARREN ST",
            "address_2": "# 607",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600772986",
            "telephone_number": "718-440-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHTASHAM MOHIUDDIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "MOHTASHAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-440-1826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta A Mohr, RN-C APN
• Lynn D Mohr, PHD APRN PCN-BC CPN
• Sophia Mohsen
• Emaan Mohsin
• Aria Mohtadi, M.D.
• Eric Moi, PHARMD
• Mutiatu Modupe Moibi
• Hiba Fatima Moinuddin, MA, LPC
• Alexandra Claudia Moise
• Sharon Moise, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.