PHILIP MOUDY MD NPI 1871569822

NPI Information

NPI: 1871569822
Provider Name: PHILIP MOUDY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
3495 BAILEY AVE
BUFFALO, NY
ZIP 14215
Phone: (716) 862-6015
Get Directions

Philip Moudy, MD is a diagnostic radiology radiology in Buffalo, NY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Philip Moudy, MD NPI is 1871569822. 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:

3495 BAILEY AVE
BUFFALO, NY
ZIP 14215-129
Phone: (716) 862-6015

The enumeration date for this NPI number is 2/28/2006 and was last updated on 7/8/2007.

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	2085R0202X	Radiology	Diagnostic Radiology	126843-1	NEW YORK	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	BB4366	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	00820306	MEDICAID	NEW YORK
3	B36175	MEDICARE UPIN	NEW YORK

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: 11/14/2023

NPI Synchronization or Removal

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