Modern Med Integrative Health

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MODERN MED INTEGRATIVE HEALTH

Doing business as

Modern Med Integrative Health

Practice address

281 W Southlake Blvd
Southlake, TX 76092-7052

Phone

(469) 200-4093

Fax

(469) 200-4079

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By 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

Nazimuddin MohammedNPI 1316974249

Title

Owner

Phone

(469) 200-4093

Specialties & licenses 1

Addresses

Other names 1

• MODERN MED INTEGRATIVE HEALTH Doing business as

Practitioners 1

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.

• Nazimuddin T Mohammed, MD

  • Psychiatry Physician
  • Frisco, TX
  • NPI 1316974249
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1689494056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927052",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927052",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN MED INTEGRATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NAZIMUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-200-4093"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODERN MED INTEGRATIVE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajeev Misra, D.D.S.
• Audrey Marie Mitchell
• Jessica Mitchell
• Ronnie Mitchell, D. O.
• Thomas Patrick Mitchell, R.PH.
• Modern Medical House Calls PLLC
• Omar Mohammed Moinuddin, MD
• Monkey Ears, LLC
• Jasmine Monsivais-Mendez
• Jessica Montague

• Neurology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.