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NPI Code Detail

MEDICARE: MOHAMMED MIQDAD MD

MEDICARE: MOHAMMED MIQDAD 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
1207RN0300XNephrology PhysicianW6312TX
2207RN0300XNephrology Physician125.085108IL

General Provider Information

NPI Number : 1730968397
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMED MIQDAD MD
Provider Business Mailing Address
First Line : 1307 N LAWNDALE AVE APT 1F
Second Line :
City : CHICAGO
State : IL
Zip : 60651-2261
Country : US
Telephone Number : 929-683-3972
Fax Number :
Provider Business Practice Location Address
First Line : 1009 S WOOD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3747
Country : US
Telephone Number : 886-600-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2023
Last Update Date : 05/20/2026

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Directions to “ MOHAMMED MIQDAD MD” Practice Location

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