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General NPI Number Information
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NPI Number | 1235392416
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Entity Type | Individual
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Provider Name | SOHAIB AMER MOHIUDDIN MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 209 E WILLIAM ST SUITE 104B
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City | WICHITA
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State | KS
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Zip | 67202-4017
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Country | US
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Telephone | 888-938-4706
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 909
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City | LOUISVILLE
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State | KY
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Zip | 40201-0909
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Country | US
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Telephone | 502-588-0330
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 7629
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | 61053
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD466785
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License Number State | PA
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