MEDICARE: DR. MOHIUDDIN GHAZI 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	207R00000X	Internal Medicine Physician	35065931	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31142883000	OTHER	OH	BUREAU WORKERS COMP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598869174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHIUDDIN GHAZI MD

Provider Business Mailing Address
First Line	:	5450 FRANTZ RD STE 360
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4141
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 MEADOW DR
Second Line	:	SUITE B
City	:	MOUNT GILEAD
State	:	OH
Zip	:	43338-1063
Country	:	US
Telephone Number	:	678-766-3605
Fax Number	:	614-533-1442

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	01/25/2022

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