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.
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 |
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