Provider Demographics
NPI:1326459603
Name:DAWOOD, MOIZ (MD)
Entity Type:Individual
Prefix:
First Name:MOIZ
Middle Name:
Last Name:DAWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 COLLEGE ST STE 2800
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2500
Mailing Address - Country:US
Mailing Address - Phone:319-268-3990
Mailing Address - Fax:319-268-3995
Practice Address - Street 1:515 COLLEGE ST STE 2800
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2500
Practice Address - Country:US
Practice Address - Phone:319-268-3990
Practice Address - Fax:319-268-3995
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-08
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43510330838208600000X
390200000X
IAMD-47179208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program