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NPI Code Detail

MEDICARE: DR. SHERIN MOIDEEN MD

MEDICARE: DR. SHERIN MOIDEEN 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
12084P0800XPsychiatry Physician0101258089VA
22084P0800XPsychiatry PhysicianMD210001614DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10OTHERDCO

General Provider Information

NPI Number : 1215218854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERIN MOIDEEN MD
Provider Business Mailing Address
First Line : 3900 WESTERRE PKWY STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1339
Country : US
Telephone Number : 804-336-2885
Fax Number : 804-315-2341
Provider Business Practice Location Address
First Line : 3900 WESTERRE PKWY STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1339
Country : US
Telephone Number : 804-336-2885
Fax Number : 804-315-2341
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2011
Last Update Date : 04/09/2024

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