JAHANGIR A MOMIN MD NPI 1376578518

NPI Information

NPI: 1376578518
Provider Name: JAHANGIR A MOMIN, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
3102 E PARKSIDE BLVD
#7
APPLETON, WI
ZIP 54915
Phone: (262) 538-1406
Get Directions

Jahangir A Momin, MD is a nephrology internal medicine in Appleton, WI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Jahangir A Momin, MD NPI is 1376578518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3102 E PARKSIDE BLVD
#7
APPLETON, WI
ZIP 54915-607
Phone: (262) 538-1406
Fax: (262) 538-1406

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/14/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	46733-020	WISCONSIN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	34503700	MEDICAID	WISCONSIN
2	402200002	MEDICARE PIN	WISCONSIN
3	I07825	MEDICARE UPIN	WISCONSIN
4	711810002	MEDICARE PIN	WISCONSIN

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

NPI Synchronization or Removal

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