Provider Demographics
NPI:1073932562
Name:MOHIUDDIN, SAMEENA (DO)
Entity Type:Individual
Prefix:
First Name:SAMEENA
Middle Name:
Last Name:MOHIUDDIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 NORFOLK VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3787
Mailing Address - Country:US
Mailing Address - Phone:832-771-9843
Mailing Address - Fax:
Practice Address - Street 1:17510 W GRAND PKWY S STE 310
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2648
Practice Address - Country:US
Practice Address - Phone:346-843-6470
Practice Address - Fax:346-843-6475
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2680208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics