Moazam PA

NPI #1699043166 in Thornton, Colorado

Provider Information

NPI Number: 1699043166
Entity Type: Organization
Organization Name: Moazam PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 12, 2011
Last Updated: Jul 18, 2022

Practice Location

Address: 1700 W 100TH AVE STE 100
City: Thornton
State: Colorado
ZIP Code: 80260-5982
Phone: (915) 852-3225

Authorized Official

Name: DR. MUSTAFA MOHAMMED MOAZAM, M.D.
Title: MEDICAL DIRECTOR
Phone: (918) 691-9129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Pediatrics - Pediatric Hematology-Oncology — Pediatric Hematology-Oncology	2080P0207X
Internal Medicine	207R00000X	Primary

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