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

Mr. Mohammad I Mohiuddin I, RSA, CSA

Individual provider Surgical Physician Assistant · NPI 1619223716

Mr. Mohammad I Mohiuddin I, RSA, CSA is a Surgical Physician Assistant in Lombard, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

208 Westmore Meyers Rd
Lombard, IL 60148-3041
Phone: (630) 935-2118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 238.000180 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 238.000180 (IL)

Record details

NPI number1619223716
Entity typeIndividual (Type 1)
GenderMale
Credentials RSA , CSA
Sole proprietorYes
NPI enumeratedJuly 26, 2012
Last updated in NPPESOctober 15, 2015

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