Mohideen a Jamaluddin M D Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

R9519 Issued in MO

Legal business name

MOHIDEEN A JAMALUDDIN M D INC

Practice address

420 W Main St
Festus, MO 63028-1800

Phone

(636) 937-0200

Fax

(636) 937-9693

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Mohideen A Jamaluddin, M.D.

Title

President

Phone

(636) 937-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1619216801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630280189",
            "telephone_number": "636-937-0200",
            "fax_number": "636-937-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281800",
            "telephone_number": "636-937-0200",
            "fax_number": "636-937-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHIDEEN A JAMALUDDIN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "JAMALUDDIN",
        "authorized_official_first_name": "MOHIDEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-937-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "R9519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.