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Maamoon Moatasim Amor

Radiology

Allopathic & Osteopathic Physicians

1 Hospital Drive Ma423, Dc 043.00, Columbia, MO 65212

PECOS Enrollment

This provider is enrolled in PECOS as MAAMOON AMOR.

Based on the most recent information from CMS, provider Maamoon Moatasim Amor 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 2 days ago.

Profile Details

Provider ID
1174253611
Provider Type
Individual
Full Name
Amor, Maamoon Moatasim
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/16/2022
Last Updated
6/29/2023

Contact Information

Practice Location

1 Hospital Drive Ma423, Dc 043.00, Columbia, MO 65212

(573) 882-7901

Unlisted Fax

Mailing Location

1 Hospital Drive Ma423, Dc 043.00, Columbia, MO 65212

(573) 882-7901

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 2023016716 Missouri
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 2022021346 Missouri

Maamoon Moatasim Amor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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License

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