Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIDJANI MAOULOUD
Active Sole ProprietorTIDJANI MAOULOUD is a Bus healthcare provider located in CHAMPAIGN, Illinois. NPI 1033959747 is currently active in the NPPES registry. Verify at CMS.
Bus · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1033959747
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2024 (2.1969306948674 yrs)
- Last Updated
- May 30, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2604 PINE VALLEY DRCHAMPAIGN, IL, 618227982Browse IL providers · Browse ZIP 61822
- Phone
- 2606026110
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| ANTHONY RING | — | 1376125708 |
| JAMES E KINNEY | — | 1952064453 |
| MARK THOMPSON | — | 1275223810 |
| KRISHAN AMIN | — | 1629842513 |
| PEPPERTANNER MCCLENDON | — | 1417752304 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.