1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. MUHAMMAD TALHA MOAZZAM MD
NPI 1073302915
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since May 06, 2025
530 GLEN OAK AVE, PEORIA, IL 61637(309) 624-9351(309) 655-7732 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, May 6, 2025 (2 updates tracked since 2025).

About Mr. Muhammad Talha Moazzam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MUHAMMAD TALHA MOAZZAM MD (NPI 1073302915) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1073302915
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MUHAMMAD TALHA MOAZZAMCredential: MD
Location Address530 GLEN OAK AVEPeoria, IL 61637
Mailing Address530 Glen Oak Ave., Internal Medicine Residency Osf St., Attn: Marti SokolowskiPeoria, IL 61637 · (309) 624-9351 · Fax (309) 655-7732
Phone(309) 624-9351
Fax(309) 655-7732
Sole ProprietorNo
Enumeration DateMay 6, 2025
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1073302915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muhammad Talha Moazzam's NPI number?

The NPI number for Muhammad Talha Moazzam is 1073302915. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Muhammad Talha Moazzam located?

Muhammad Talha Moazzam practices at 530 Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Muhammad Talha Moazzam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Muhammad Talha Moazzam was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.