M Azam Mohiuddin MD PC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

MD037150L Issued in PA

Legal business name

M AZAM MOHIUDDIN MD PC

Practice address

8110 Bustleton Ave
Philadelphia, PA 19152-2803

Phone

(215) 695-0331

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

M Azam Mohiuddin, MD PC

Title

President

Phone

(215) 695-0331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Manzoor Nayeema Mohiuddin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Philadelphia, PA
  • NPI 1982706982
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1326216995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522803",
            "telephone_number": "215-695-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522803",
            "telephone_number": "215-695-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M AZAM MOHIUDDIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "MOHIUDDIN",
        "authorized_official_first_name": "M AZAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-695-0331",
        "authorized_official_credential": "MD PC"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "MD037150L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyta Corporation
• Vanessa Renee Lytes, CRNP
• M & D Behavioral Consultant LLC
• M & M Loving Heart Homecare LLC
• M and a Group Homes
• M D Company, Inc.
• M Jewell, M.D., P.C.
• M-I-H Home Care LLC
• M. Curie Pharmacy, LLC
• M.R. Johnson Therapy LLC

• Psychiatric Hospital in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatric Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.