Individual provider · Type 1 NPI
Mohammad Reza Roshandel Moghaddam, MD
Urology Physician · Decatur, IL
Practice location
2 Memorial Dr Fl 3
Decatur, IL 62526-3950
Fax (217) 876-1958
Mailing address
PO Box 19639
Springfield, IL 62794-9639
Other practice locations
- 171 Ashley Ave, Charleston, SC 29425-1530 · (843) 792-1414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Urology Physician Primary | 208800000X | 036.181271 (IL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Other urology physician providers in Decatur
About NPI 1447946645
Mohammad Reza Roshandel Moghaddam, MD's National Provider Identifier is 1447946645, issued on Apr 12, 2023. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Decatur, IL. The record was last updated on Oct 16, 2026.