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DR. NASSER MOIDUDDIN M.D. NPI 1689815888


NPI Information

NPI: 1689815888
Provider Name: DR. NASSER MOIDUDDIN, M.D.
Classification: Internal Medicine - 207RA0002X
Entity Type: Individual

Specialization: Adult Congenital Heart Disease

PECOS Registration: Yes

Address:
333 N SANTA ROSA
SAN ANTONIO, TX
ZIP 78207
Phone: (210) 704-4100
Get Directions

DR. Nasser Moiduddin, M.D. is an adult congenital heart disease internal medicine in San Antonio, TX with 22 years of experience. The provider is a physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension. DR. Nasser Moiduddin, M.D. NPI is 1689815888. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

333 N SANTA ROSA
SAN ANTONIO, TX
ZIP 78207-108
Phone: (210) 704-4100

The NPI 1689815888 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2009 and was last updated on 2/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0002XInternal MedicineAdult Congenital Heart DiseaseMD2021-0101NEW MEXICONo
2207RA0002XInternal MedicineAdult Congenital Heart DiseaseA109143CALIFORNIANo
3208000000XPediatrics4301087407MICHIGANNo
42080P0202XPediatricsPediatric CardiologyA109143CALIFORNIANo
5208000000XPediatricsA109143CALIFORNIANo
62080P0202XPediatricsPediatric Cardiology4301087407MICHIGANNo
72080P0202XPediatricsPediatric Cardiology27237WEST VIRGINIANo
82080P0202XPediatricsPediatric CardiologyMD2021-0101NEW MEXICONo
92080P0202XPediatricsPediatric Cardiology35094540OHIONo
10207RA0002XInternal MedicineAdult Congenital Heart DiseaseU8223TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
105930OTHEROHIOPARAMOUNT
29766413OTHEROHIOAETNA
33007356OTHEROHIOBCMH
4000000645226OTHEROHIOANTHEM
53007356MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.