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NPI Code Detail

MEDICARE: DR. MOHAMMED MUTTAHHAR MOHIUDDIN M.D.

MEDICARE: DR. MOHAMMED MUTTAHHAR MOHIUDDIN 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
12086S0102XSurgical Critical Care PhysicianMD486756PA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1336702406
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMED MUTTAHHAR MOHIUDDIN M.D.
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-2200
Fax Number : 484-526-6459
Provider Business Practice Location Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number : 484-526-2200
Fax Number : 484-526-6459
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 06/08/2026

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