DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MOHAMMED SOUBHI NIZAM, M.D.

Active

DR. MOHAMMED SOUBHI NIZAM, M.D. is a Endocrinology, Diabetes & Metabolism healthcare provider located in PROVO, Utah. NPI 1326203514 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · PROVO, UT

Registration Details

NPI Number
1326203514
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2008 (18.081544595495 yrs)
Last Updated
Nov 27, 2023
License
6955621-1205 (UT)

Practice Information

Address
1055 N 500 W STE 205
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8014298095
Fax
8013548265
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in PROVO, UT

Name Credential NPI
JOHN THOMAS LUNG 1922636448
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.