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

IMRAN AHMED MOINUDDIN, MD

Active

IMRAN AHMED MOINUDDIN, MD is a Family Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1528717808 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · KENOSHA, WI

Registration Details

NPI Number
1528717808
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2022 (4.3739733563957 yrs)
Last Updated
Sep 18, 2025
License
84843-20 (WI)

Practice Information

Address
10400 75TH ST STE 305
KENOSHA, WI, 531427884
Browse WI providers · Browse ZIP 53142
Phone
2629487050
Fax
2629487271
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in KENOSHA, WI

Name Credential NPI
DR. JAWAID QUDDUS MD, PHD 1386631661
DR. STEPHEN P FEUERBACH M.D. 1386608677
MISO NIKO MILOSLAVIC MD 1326094731
LEONARDO MONTEMURRO SR. MD 1689620072
XA X XIONG MD 1629015334
ELIZABETH A ANTOO MD 1760422240
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.