Doctor Name: | DR. MUHAMMAD MUSTAFA |
NPI Number: | 1437348760 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301047765 |
Business Practice Address: | 3496 E Lake Lansing Rd East Lansing, MI - 488232288 |
Business Phone Number: | 5173330968 |
Business Fax Number: | |
Mailing Address: | 3496 E Lake Lansing Rd, EAST LANSING |
State: | MI |
Postal Code: | 488232288 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/23/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301047765 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |