Mohiddin, Mamoon

Mohiddin, Mamoon is an individual health care provider with primary practice located at 4401 N Campus Ridge Dr Suite D2400, Midland MI 48640-6112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mohiddin, Mamoon can be contacted via phone (989) 837-9250.

Contact Information

Primary practice address
4401 N Campus Ridge Dr Suite D2400 Midland MI 48640-6112
Fax: (989) 837-9255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MM063100 Michigan

Profile Details

NPI number 1932209400
LBN Legal business name Mohiddin, Mamoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 20th, 2012 - about 14 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 1932209400 NPPES
Michigan MEDICAID 3523374

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