Individual provider · Type 1 NPI

Muhammad Talha Moazzam, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1073302915 Active

Practice location

530 Glen Oak Ave
Peoria, IL 61637

Call (309) 624-9351 Map

Fax (309) 655-7732

Mailing address

530 Glen Oak Ave., Internal Medicine Residency Osf St., Attn: Marti Sokolowski
Peoria, IL 61637

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

Other student in an organized health care education/training program providers in Peoria

See all in Peoria →

About NPI 1073302915

Muhammad Talha Moazzam, MD's National Provider Identifier is 1073302915, issued on May 6, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Jan 28, 2026.