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Musa Modad, MD
Internal Medicine Physician in Moscow, Idaho
NPI 1902917834

Musa Modad is a Internal Medicine Physician based in Moscow, ID. Musa Modad practices in Moscow, ID and has the professional credentials of MD. The NPI Number for Musa Modad is 1902917834 and holds a License No. 103780 (Idaho).

The current practice location address for Musa Modad is 719 S Main St, Moscow, ID and can be reached out via phone at 208-883-1152 and via fax at 208-882-1486. You can also correspond with Musa Modad through the mailing address at 700 S MAIN ST, MOSCOW, ID - 83843-3046 (mailing address contact number: 208-882-4511).

Location: 719 S Main St, Moscow, ID, 83843-3046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902917834
Provider Name
Musa Modad
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
719 S Main St, Moscow, ID, 83843-3046
Phone Number
208-883-1152
Fax Number
208-882-1486
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206687410 05 MO
P00430675 01 RAILROAD MEDICARE
1235680703 01 ID NPI # FOR INTERNAL MEDICINE CLINIC
1902917834 05 MO
M-12814 01 ID IDAHO LICENSE
institution
Provider Business Practice Location Address Details
Address
719 S Main St
City
Moscow
State
Idaho
Zip
83843-3041
Phone Number
208-883-1152
Fax Number
208-882-1486
person
Provider Business Mailing Address Details
Address
700 S Main St
City
Moscow
State
Idaho
Zip
83843-3046
Phone Number
208-882-4511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
103780 (Missouri)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
103780 (Missouri)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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