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NPI Code Detail

MEDICARE: MUHAMMAD I MASROOR M.D.

MEDICARE: MUHAMMAD I MASROOR M.D.
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
1207R00000XInternal Medicine Physician36658KY
2207RG0300XGeriatric Medicine (Internal Medicine) Physician36658KY
3207RG0300XGeriatric Medicine (Internal Medicine) Physician01063451AIN
4207R00000XInternal Medicine Physician01063451AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043216971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MUHAMMAD I MASROOR M.D.
Provider Business Mailing Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Provider Business Practice Location Address
First Line : 443 SPRING ST STE 200
Second Line :
City : JEFFERSONVILLE
State : IN
Zip : 47130-4494
Country : US
Telephone Number : 812-288-8360
Fax Number : 812-288-8375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 08/20/2020

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Directions to “ MUHAMMAD I MASROOR M.D.” Practice Location

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