Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME143783 | FL |
N | 111NI0900X | Internist | ME143783 | FL |
Y | 207RC0000X | Internist - Cardiovascular Disease | ME143783 | FL |
N | 207U00000X | Nuclear Medicine Specialist | ME143783 | FL |
NPI | 1215344122 |
---|---|
Provider Name | Dr. Mohammed Ruzieh |
First Address | Toledo, OH 43614 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 27/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
106394300 | (05) | FL |