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General NPI Number Information
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NPI Number | 1063526614
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Entity Type | Individual
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Provider Name | ABID MOHIUDDIN MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 788 SCOGIN DRIVE DREW MEMORIAL HEALTH SYSTEM
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City | MONTICELLO
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State | AR
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Zip | 71655
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Country | US
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Telephone | 870-500-0595
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Fax | 870-535-2801
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Provider Business Mailing Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-939-6380
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Fax | 870-535-2801
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2020025230
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | E-4335
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License Number State | AR
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