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Dr. Mohammed Soubhi Nizam, MD
Endocrinology, Diabetes & Metabolism Physician in Provo, Utah
NPI 1326203514

Mohammed Soubhi Nizam is a Endocrinology, Diabetes & Metabolism Physician based in Provo, UT and is specialized in Endocrinology, Diabetes & Metabolism. Mohammed Soubhi Nizam practices in Provo, UT and has the professional credentials of MD. The NPI Number for Mohammed Soubhi Nizam is 1326203514 and holds a License No. 6955621-1205 (Utah).

The current practice location address for Mohammed Soubhi Nizam is 1055 N 500 W Ste 205, Provo, UT and can be reached out via phone at 801-429-8095 and via fax at 801-354-8265.

Location: 1055 N 500 W Ste 205, Provo, UT, 84604-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326203514
Provider Name
Mohammed Soubhi Nizam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W Ste 205, Provo, UT, 84604-3305
Phone Number
801-429-8095
Fax Number
801-354-8265
Provider Enumeration Date
07/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000705030 01 IN ANTHEM PROVIDER NUMBER
201013750 05 IN
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W Ste 205
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-429-8095
Fax Number
801-354-8265
person
Provider Business Mailing Address Details
Address
1055 N 500 W Ste 205
City
Provo
State
Utah
Zip
84604-3305
Phone Number
801-429-8095
Fax Number
801-354-8265
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
6955621-1205 (Utah)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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