MEDICARE: DR. NADIA GUL MOHYUDDIN 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
1	207Y00000X	Otolaryngology Physician	30515	SC
2	207Y00000X	Otolaryngology Physician	036-115676	IL
3	207Y00000X	Otolaryngology Physician	N3187	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1346428208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADIA GUL MOHYUDDIN MD

Provider Business Mailing Address
First Line	:	6550 FANNIN ST STE 1723
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2747
Country	:	US
Telephone Number	:	713-441-1368
Fax Number	:

Provider Business Practice Location Address
First Line	:	6550 FANNIN ST STE 1723
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2747
Country	:	US
Telephone Number	:	713-441-1368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2008
Last Update Date	:	07/30/2018

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