National Provider Identifier

Maitham Ammory Moslim Moslim, M.D.

Maitham Ammory Moslim Moslim, M.D. is listed in the NPPES registry with a primary specialty of Surgical Oncology Physician in Rochester, NY and a listed phone number of (585) 922-5973.

NPI 1871932822Rochester, NYSurgical Oncology Physician

Profile Overview

NPI
1871932822
Provider Type
Individual
Primary Specialty
Surgical Oncology Physician
Enumeration Date
June 21, 2013
Last Updated
June 23, 2025

Practice Location

  • 1415 Portland Ave Ste 245
  • Rochester, NY 14621-3022

Phone: (585) 922-5973

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Surgical Oncology Physician (2086X0206X)
  • Surgery Physician (208600000X)
Full Record
NPI
1871932822
Entity Type
Individual
Last Name
Moslim
First Name
Maitham
Middle Name
Ammory Moslim
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1415 Portland Ave Ste 245
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3022
Practice Country
US
Practice Phone
(585) 922-5973
Enumeration Date
June 21, 2013
Last Updated
June 23, 2025
Sex
Male
Sole Proprietor
Yes
Certification Date
June 23, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Oncology Physician (2086X0206X), Surgery Physician (208600000X)