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Shezaan Momin, MD
Student in an Organized Health Care Education/Training Program in Austin, Texas
NPI 1952985541

Shezaan Momin is a Student in an Organized Health Care Education/Training Program based in Austin, TX. Shezaan Momin practices in Austin, TX and has the professional credentials of MD. The NPI Number for Shezaan Momin is 1952985541 and holds a License No. MD.45229 (Texas).

The current practice location address for Shezaan Momin is 1500 Red River St, Austin, TX and can be reached out via phone at 512-324-7390.

Location: 1500 Red River St, Austin, TX, 78754-5516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952985541
Provider Name
Shezaan Momin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 Red River St, Austin, TX, 78754-5516
Phone Number
512-324-7390
Fax Number
Provider Enumeration Date
05/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 Red River St
City
Austin
State
Texas
Zip
78701-1918
Phone Number
512-324-7390
Fax Number
person
Provider Business Mailing Address Details
Address
1500 Red River St
City
Austin
State
Texas
Zip
78701-1918
Phone Number
512-324-7390
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD.45229 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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