MEDICARE: MOHAMMAD J UDDIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD.19994	AL
2	207R00000X	Internal Medicine Physician	19994	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1679654917	OTHER	AL	TRICARE SOUTH
4	510-03504	OTHER	AL	BCBS
5	515-32972	OTHER	AL	BCBS
6	515-33349	OTHER	AL	BCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	515-33348	OTHER	AL	BCBS
10	51501310	OTHER	AL	BCBS AL
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679654917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD J UDDIN MD

Provider Business Mailing Address
First Line	:	1903 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4112
Country	:	US
Telephone Number	:	251-937-7970
Fax Number	:	251-937-9260

Provider Business Practice Location Address
First Line	:	1903 HAND AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-4112
Country	:	US
Telephone Number	:	251-937-7970
Fax Number	:	251-937-9260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	11/15/2024

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Directions to “ MOHAMMAD J UDDIN MD” Practice Location

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