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NPI Code Detail

MEDICARE: DR. MOEZ MITHANI MD

MEDICARE:  DR. MOEZ  MITHANI  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
1207L00000XAnesthesiology PhysicianMD61258608WA
2207L00000XAnesthesiology Physician4373-320WI
3208VP0014XInterventional Pain Medicine PhysicianV1351TX

Other Identifiers

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

General Provider Information

NPI Number : 1376047837
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOEZ MITHANI MD
Provider Business Mailing Address
First Line : 20079 STONE OAK PKWY STE 1245
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-6957
Country : US
Telephone Number : 210-545-0087
Fax Number : 210-545-3455
Provider Business Practice Location Address
First Line : 20079 STONE OAK PKWY STE 1245
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-6957
Country : US
Telephone Number : 210-545-0087
Fax Number : 210-545-3455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 04/10/2025

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