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Humza Moghis Mian

Student in an Organized Health Care Education/Training Program

Student, Health Care

30 E Apple St Ste 2200, Dayton, OH 45409-2939

PECOS Enrollment

This provider is enrolled in PECOS as HUMZA MIAN.

Based on the most recent information from CMS, provider Humza Moghis Mian is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1043847288
Provider Type
Individual
Full Name
Mian, Humza Moghis
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/26/2020
Last Updated
3/26/2020

Contact Information

Practice Location

30 E Apple St Ste 2200, Dayton, OH 45409-2939

(937) 208-2127

Unlisted Fax

Mailing Location

30 E Apple St Ste 2200, Dayton, OH 45409-2939

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Humza Moghis Mian

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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