Provider Demographics
NPI:1841403946
Name:ABEDIN, MOEEN (MD)
Entity Type:Individual
Prefix:
First Name:MOEEN
Middle Name:
Last Name:ABEDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1701 N LEE TREVINO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4548
Mailing Address - Country:US
Mailing Address - Phone:915-593-5999
Mailing Address - Fax:915-593-0252
Practice Address - Street 1:1701 N LEE TREVINO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4548
Practice Address - Country:US
Practice Address - Phone:915-593-5999
Practice Address - Fax:915-593-0252
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT5917483-1205207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology