Mohiuddin, Syed M
Mohiuddin, Syed M is an individual health care provider with primary practice located at 695 N Perryville Rd Suite 4, Rockford IL 61107-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohiuddin, Syed M can be contacted via phone (815) 227-9900.Contact Information
Primary practice address
695 N Perryville Rd Suite 4
Rockford IL 61107-6225
Phone: (815) 227-9900
Fax: (815) 227-9805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036055808 | Illinois |
Profile Details
| NPI number | 1144216243 |
|---|---|
| LBN Legal business name | Mohiuddin, Syed M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Mar 31st, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144216243 | NPPES |
| Illinois | Other | 553180 | MEDICARE GROUP PTAN |
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