Search › Idaho › 207R00000X
Musa Modad, MD
NPI 1902917834 · on the registry since 2006
Practice
- Address
- 719 S Main St
Moscow, ID 83843 - Phone
- (208) 883-1152
- Fax
- (208) 882-1486
- Organisation at this address
- Gritman Medical Center Inc
Gritman Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 700 S Main St, Moscow, ID
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207P00000X
207R00000X - Licence states on file
- MO, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho