Provider Demographics
NPI:1821273343
Name:MOEZ L PIRMOHAMED, MD, LLC
Entity Type:Organization
Organization Name:MOEZ L PIRMOHAMED, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLO PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MOEZ
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIRMOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-843-0552
Mailing Address - Street 1:7 POST OFFICE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-2744
Mailing Address - Country:US
Mailing Address - Phone:301-843-0552
Mailing Address - Fax:301-843-4917
Practice Address - Street 1:7 POST OFFICE RD
Practice Address - Street 2:SUITE B
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-2744
Practice Address - Country:US
Practice Address - Phone:301-843-0552
Practice Address - Fax:301-843-4917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD30246207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4599463OtherAETNA
MD651923OtherCIGNA
MD119PMedicare PIN
MD651923OtherCIGNA
MDG02159Medicare PIN