Mohyuddin, Aliasghar

Mohyuddin, Aliasghar is an individual health care provider with primary practice located at 1780 Hanshaw Rd , Ithaca NY 14850-9105. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mohyuddin, Aliasghar can be contacted via phone (607) 257-5858.

Contact Information

Primary practice address
1780 Hanshaw Rd Ithaca NY 14850-9105
Phone: (607) 257-5858
Fax: (607) 257-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD068766L Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 215037-1 New York

Profile Details

NPI number 1174595136
LBN Legal business name Mohyuddin, Aliasghar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Sep 15th, 2011 - about 15 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 1174595136 NPPES
Pennsylvania Other GU039894 PA MEDICARE GROUP
Pennsylvania Other 110209182 PA MEDICARE GROUP
Pennsylvania MEDICAID 01980905 PA MEDICARE GROUP
Pennsylvania MEDICAID 0017551190001 PA MEDICARE GROUP
Pennsylvania Other CC8362 PA MEDICARE GROUP

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