Musa Modad, MD

NPI #1902917834 in Moscow, Idaho

Provider Information

NPI Number: 1902917834
Entity Type: Individual
Name: Musa Modad, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Aug 31, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 719 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-3041
Phone: (208) 883-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Internal Medicine	207R00000X

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