Provider Demographics
NPI:1366533762
Name:MOMEN, MUHAMMAD N (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:N
Last Name:MOMEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6935 WOODLANDS LN
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-4664
Mailing Address - Country:US
Mailing Address - Phone:440-498-4756
Mailing Address - Fax:
Practice Address - Street 1:6935 WOODLANDS LN
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-4664
Practice Address - Country:US
Practice Address - Phone:440-498-4756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0816152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH87640Medicare UPIN