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EZZAT AHMED MOUSSA MD
NPI 1457425696
Family Medicine in Monticello, MN

Active since November 20, 2006
114 WEST 3RD STREET, MONTICELLO, MN 55362(763) 295-3100(763) 295-6196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ezzat Ahmed Moussa Md NPPES

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

EZZAT AHMED MOUSSA MD (NPI 1457425696) is an individual family medicine provider in Monticello, Minnesota, licensed in Minnesota (22484) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1457425696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEZZAT AHMED MOUSSACredential: MD
Location Address114 WEST 3RD STREETMonticello, MN 55362
Mailing Address114 West 3rd StreetMonticello, MN 55362 · (763) 295-3100 · Fax (763) 295-6196
Phone(763) 295-3100
Fax(763) 295-6196
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457425696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 22484
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 WEST 3RD STREET, Monticello, MN 55362
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Other Identifiers 1

Medicare UPIND48830

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER PLACE CLINIC INC
Family Medicine
114 WEST 3RD STREET
MONTICELLO, MN 55362
Wright County (763) 295-3100

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 Ezzat Moussa's NPI number?

The NPI number for Ezzat Moussa is 1457425696. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Ezzat Moussa located?

Ezzat Moussa practices at 114 West 3rd Street, Monticello, MN 55362. The listed phone number is (763) 295-3100.

What is Ezzat Moussa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Ezzat Moussa was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.