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Annes Baher Mustafa Elfar

Student in an Organized Health Care Education/Training Program in Clinton Township, MI. Individual provider (NPI-1).

NPI number1154166320
StatusActive
Last updated in NPPESApr 24, 2026

Details

NPI
1154166320
Entity type
Individual (NPI-1)
Name
Annes Baher Mustafa Elfar
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2024
Certification date
Apr 24, 2026
Last updated
Apr 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Phone 586-263-2973

Mailing address

4731 S Joplin Ave
Tulsa, OK 74135-6855

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