Individual provider · Type 1 NPI

Mohammad Reza Roshandel Moghaddam, MD

Urology Physician · Decatur, IL

NPI number 1447946645 Active

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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Urology Physician Primary 208800000X036.181271 (IL)
Student in an Organized Health Care Education/Training Program 390200000XNone 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

See all 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.