Muhareb Mustafa, MD
Family Medicine in Gainesville, GA. Individual provider (NPI-1).
NPI number1114554458
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1114554458
- Entity type
- Individual (NPI-1)
- Name
- Muhareb Mustafa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301509740 | MI | Yes |
Practice location
743 Spring St Ne Ste 710Gainesville, GA 30501-3715
Phone 770-219-8730
Mailing address
1600 S Canton Center Rd Ste 200Canton, MI 48188-6276
Phone 734-398-7880
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