Moeenuddin, Zohra F

Moeenuddin, Zohra F is an sole proprietor health care provider with primary practice located at 320 E Armstrong Ave , Peoria IL 61603-3172. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moeenuddin, Zohra F can be contacted via phone (309) 624-9690.

Contact Information

Primary practice address
320 E Armstrong Ave Peoria IL 61603-3172
Phone: (309) 624-9690
Fax: (309) 624-9714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01061030A Indiana

Profile Details

NPI number 1922043223
LBN Legal business name Moeenuddin, Zohra F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922043223 NPPES
Illinois Other 809840 MEDICARE GROUP PTAN
Illinois Other 01061030B MEDICARE GROUP PTAN
Illinois MEDICAID 200533760 MEDICARE GROUP PTAN
Illinois MEDICAID 036113542 MEDICARE GROUP PTAN
Illinois Other 11520388 MEDICARE GROUP PTAN

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