Individual provider · NPI-1

Mohammed Ezuddin, MD

Radiology, Vascular & Interventional Radiology · North Miami Beach, FL

NPI number1538588207
StatusActive
Last updated in NPPESSep 21, 2026

Details

NPI
1538588207
Entity type
Individual (NPI-1)
Name
Mohammed Ezuddin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 10, 2014
Certification date
Sep 21, 2026
Last updated
Sep 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0204X Radiology, Vascular & Interventional RadiologyA192219CAYes
2085R0204X Radiology, Vascular & Interventional RadiologyME130108FL
2085R0202X Radiology, Diagnostic RadiologyT6231TX
2085R0204X Radiology, Vascular & Interventional RadiologyT6231TX

Practice location

160 Nw 170th St
North Miami Beach, FL 33169-5521

Phone 305-651-1100

Mailing address

4581 Weston Road
Box 327
Weston, FL 33331-3141

Phone 305-654-5221 · Fax 305-654-6872

Other practice locations

221 Nw 156th Ln
Pembroke Pines, FL 33028-1502

Phone 786-379-5152

4250 Hospital Dr
Marianna, FL 32446-1917

Phone 850-526-2200 · Fax 850-718-2844

2101 Pease St
Harlingen, TX 78550-8307

Phone 956-389-6565

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