Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ishtiaque Hossain Mohiuddin

Individual provider Cardiovascular Disease Physician · NPI 1114969433

Dr. Ishtiaque Hossain Mohiuddin is a Cardiovascular Disease (Cardiology) in Lumberton, North Carolina. Qualified in 1982, 44 years ago. Practices with Southeastern Regional Physician Services, a 34-clinician group and accepts Medicare assignment. Licensed in California, Florida, Kentucky and North Carolina.

Years since qualifying
44
Licensed in
CA, FL, KY, NC
In the registry since
2006
Specialties on file
4
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Practice location Address checks out

2936 N Elm St Ste 102
Lumberton, NC 28358-2981
Phone: (910) 671-6619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 200400922 (NC)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence TP312 (KY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence A067466 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence ME108828 (FL)

Record details

NPI number1114969433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Southeastern Regional Physician Services — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lumberton