Aziz Mohiuddin, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

AZIZ MOHIUDDIN, M.D., LLC

Practice address

3227 Sunset Blvd Ste D103
West Columbia, SC 29169-3201

Phone

(803) 791-1485

Fax

(803) 939-9378

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Waters

Title

Office Manager

Phone

(803) 791-1485

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aziz Mohiuddin, MD

  • Psychiatry Physician
  • Columbia, SC
  • NPI 1982678660
  Medicare reassignment NPD
• Tami V. Leonhardt, PH.D.

  • Clinical Psychologist
  • West Columbia, SC
  • NPI 1255325783
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1265175673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD STE D103",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 SUNSET BLVD STE D103",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693201",
            "telephone_number": "803-791-1485",
            "fax_number": "803-939-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZ MOHIUDDIN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-791-1485"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel L Avosso, MD
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• Jennifer Kirke Lewis Babb, APRN
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• Colton W Bachman, AGACNP-BC
• Melissa Ray Backman, D.M.D.

• Psychiatry Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.