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

Dr. Mohammed Shoaib Jameel Kidwai, MD

Individual provider Internal Medicine Physician · NPI 1790969319

Dr. Mohammed Shoaib Jameel Kidwai, MD is an Internal Medicine in Bala Cynwyd, Pennsylvania. Qualified in 2000, 26 years ago. Practices with State of New Jersey Omb Centralized Payroll, a 129-clinician group and accepts Medicare assignment. Licensed in Kentucky, Ohio and Pennsylvania.

Years since qualifying
26
Licensed in
KY, OH, PA
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

333 E City Ave Ste PL50
Bala Cynwyd, PA 19004-1505
Phone: (610) 667-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD433668 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35.134997 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence TP985 (KY)
Hospitalist Physician Taxonomy 208M00000X · Licence 35.134997 (OH)
Hospitalist Physician Taxonomy 208M00000X · Licence TP985 (KY)

Record details

NPI number1790969319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 18, 2007
Last updated in NPPESOctober 9, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice State Of New Jersey Omb Centralized Payroll — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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