MOHAMMED SOUBHI NIZAM

PROVO, UT
NPI1326203514
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism
(Licence: UT  6955621-1205)
Enumeration Date2008-07-28
Last Update Date2023-11-27
Business Address
DR. MOHAMMED SOUBHI NIZAM M.D.
1055 N 500 W STE 205
PROVO, UT 84604-3305
Phone number: 801-429-8095
Mailing Address
DR. MOHAMMED SOUBHI NIZAM M.D.
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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