IMRAN TAJ MOHIUDDIN (NPI# 1710912464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710912464 |
| Entity Type | Individual |
| Full Name | IMRAN TAJ MOHIUDDIN |
| Credential | M.D. |
| Practice Address |
1200 Binz St Ste 1180 Houston TX 77004-6951 |
| Mailing Address |
1200 Binz St 1180 Houston TX 77004-6951 |
| Practice Telephone | 7135206790 |
| Practice Fax Number | 7135201799 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
K8665 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 8W8513 | 01 |
| TX | 161427305 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629537592 | Imran Qasim Mohiuddin | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave Fl 33136, Miami, FL 33136-1005 | 2019-03-19 |
| 1538571062 | Imran Mohiuddin | Radiology | 601 E Rollins St, Orlando, FL 32803 | 2014-06-02 |
| Street Address |
1200 BINZ ST STE 1180 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-6951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436232 | Stephen Dale Brown | Specialist | 1200 Binz St, Ste 580, Houston, TX 77004-6947 | 2005-06-08 |
| 1639720642 | Callie Leigh Deloach | Registered Nurse | 1200 Binz St, Houston, TX 77004-6900 | 2019-09-23 |
| 1033680756 | Zippo's Healthcare Services LLC | Spec/Tech, Pathology | 1200 Binz St, Houston, TX 77004-6900 | 2018-12-06 |
| 1316485063 | Mw Psychiatry Pllc | Psychiatry & Neurology | 1200 Binz St, Ste 520, Houston, TX 77004-6900 | 2017-02-02 |
| 1790220994 | Ut Health Science Center Houston | Clinic/Center | 1200 Binz St, 730, Houston, TX 77004-6900 | 2016-12-23 |
| 1194276741 | Ut Physicians | Pediatrics | 1200 Binz St, 850, Houston, TX 77004-6900 | 2016-10-19 |
| 1255787016 | Ut Physicians | Physiological Laboratory | 1200 Binz St, Ste 850, Houston, TX 77004-6900 | 2016-05-11 |
| 1205295086 | Kuperan & Harirchian Surgical Associates Pllc | Otolaryngology | 1200 Binz St, Suite 1200, Houston, TX 77004-6900 | 2016-02-22 |
| 1962870998 | Robert Levinthal, Md. Dabns, Facs, Pllc | Health Maintenance Organization | 1200 Binz St, Suite 970b, Houston, TX 77004-6900 | 2015-09-08 |
| 1154702033 | Bryan Pham | Urology | 1200 Binz St, Ste 690, Houston, TX 77004-6943 | 2015-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1609303171 | Ross Gene Mcfall | Surgery | 6550 Fannin St # Sm1401, Houston, TX 77030-2717 | 2017-05-16 |
| 1093017063 | Southeast Texas Clinical Research and Education Inc | Surgery | 5925 Almeda Rd, North Tower Suite 717, Houston, TX 77004-7602 | 2010-11-24 |
| 1710150461 | Cardiothoracic and Vascular Surgery, Pllc | Surgery | 12327 N Shadow Cove Dr, Houston, TX 77082-2503 | 2008-04-02 |
| 1770760522 | Arash Keyhani | Surgery | 1631 North Loop W Ste 610, Houston, TX 77008-1552 | 2008-01-23 |
| 1447397716 | Jayer Chung | Surgery | 6620 Main Street (baylor College of Medicine), Suite 1325, Houston, TX 77030 | 2007-01-30 |
| 1366466914 | Damian Victorio Chaupin | Surgery | 800 Peakwood Drive, Suite 5g, Houston, TX 77090 | 2006-07-27 |
| 1427077817 | Jose Gabriel Monsalvez | Surgery | 4126 Southwest Fwy Ste 1100, Houston, TX 77027-7358 | 2006-07-18 |
| 1962471227 | William P Kalchoff | Surgery | 8313 Sw Fwy, Suite 201, Houston, TX 77074-1611 | 2006-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.