Provider Demographics
NPI:1972756112
Name:HYDERABAD MEDICAL SERVICES PLLC
Entity Type:Organization
Organization Name:HYDERABAD MEDICAL SERVICES PLLC
Other - Org Name:HYDE MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUQEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-243-7860
Mailing Address - Street 1:101 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-2501
Mailing Address - Country:US
Mailing Address - Phone:352-243-7860
Mailing Address - Fax:866-890-0786
Practice Address - Street 1:255 CITRUS TOWER BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2756
Practice Address - Country:US
Practice Address - Phone:352-243-7860
Practice Address - Fax:866-890-0786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2009-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93005207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty