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

MUSA MODAD, MD

Active

MUSA MODAD, MD is a Internal Medicine healthcare provider located in MOSCOW, Idaho. NPI 1902917834 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MOSCOW, ID

Registration Details

NPI Number
1902917834
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.807921205602 yrs)
Last Updated
Jul 21, 2022
Licenses
103780 (MO)
103780 (MO)
M-12814 (ID)

Practice Information

Address
719 S MAIN ST
MOSCOW, ID, 838433041
Browse ID providers · Browse ZIP 83843
Phone
2088831152
Fax
2088821486
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in MOSCOW, ID

Name Credential NPI
DR. RANDALL G. LORENZ MD 1669430955
JANICE BOUGHTON M.D. 1497784219
DR. HARNEK SINGH MD 1811917917
ROBERT NEAL SPADY MD 1053329490
DR. ELLENMARIE ZWANK BROWN M.D 1568629699
DR. LESLEY ANNE PORTUGAL M.D. 1023498532
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.