Provider Demographics
NPI:1306828371
Name:MOHIUDDIN, SABIHA M (MD)
Entity type:Individual
Prefix:MRS
First Name:SABIHA
Middle Name:M
Last Name:MOHIUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 BAUGHMANS LN STE 202
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4666
Mailing Address - Country:US
Mailing Address - Phone:301-694-4760
Mailing Address - Fax:301-694-3373
Practice Address - Street 1:110 BAUGHMANS LN STE 202
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4666
Practice Address - Country:US
Practice Address - Phone:301-694-4760
Practice Address - Fax:301-694-3373
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD39458207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD138800200Medicaid
MD232QMedicare ID - Type Unspecified