SIEBERT MOAZZAM P C NPI 1396780292

NPI Details

SIEBERT MOAZZAM P C is a thoracic surgery cardiothoracic vascular surgery in Peoria, IL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. SIEBERT MOAZZAM P C NPI is 1396780292. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

401 MAIN STREET
SUITE 1200
PEORIA, IL
ZIP 61602-242
Phone: (309) 671-8749

The provider's authorized official is Paul A Siebert .
The authorized official title is Owner and has the following contact phone number (309) 353-1833.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 4/12/2011.

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:

Other Identifiers

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