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

Ezzat Ahmed Moussa, MD

Individual provider Family Medicine Physician · NPI 1457425696

Ezzat Ahmed Moussa, MD is a Family Medicine Physician in Monticello, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

114 W 3rd St
Monticello, MN 55362
Phone: (763) 295-3100
Fax: (763) 295-6196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22484 (MN)

Record details

NPI number1457425696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007

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