Mohyuddin Medical Center LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOHYUDDIN MEDICAL CENTER LTD

Practice address

1309 Dadrian Professional Park
Godfrey, IL 62035-1686

Phone

(618) 466-3232

Fax

(618) 466-1950

NPI assigned

Mar 22, 2010

Last updated

Jul 16, 2015By 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

Dr. Sadiq Mohyuddin, M. D.

Title

Doctor

Phone

(618) 466-3232

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1730403692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351686",
            "telephone_number": "618-466-3232",
            "fax_number": "618-466-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 DADRIAN PROFESSIONAL PARK",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620351686",
            "telephone_number": "618-466-3232",
            "fax_number": "618-466-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHYUDDIN MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "MOHYUDDIN",
        "authorized_official_first_name": "SADIQ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-466-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043179",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Merkle, D.M.D.
• Melissa Merkle, COTA
• Michael Robert Messmer, D.O.
• John Randall Miller, D.D.S.
• Matthew Patton Mindrup, LCSW
• Yusuf Ata Mohyuddin, M.D., M.P.H.
• Stephanie M Monroe, D.C.
• Edward Stanley Nemec, M.D.
• New Path Wellness LLC
• Lawrence E Newquist, DMD

• Internal Medicine Physician in Godfrey, IL
• Providers in Godfrey, 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 Jul 16, 2015; 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.