Individual provider · NPI-1

Mustafa Azmi Alsaid Alkhreisat, MD

Internal Medicine · Columbia, MO

NPI number1205268588
StatusActive
Last updated in NPPESApr 29, 2026

Details

NPI
1205268588
Entity type
Individual (NPI-1)
Name
Mustafa Azmi Alsaid Alkhreisat
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 8, 2013
Certification date
Apr 29, 2026
Last updated
Apr 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine04-46947KSYes
207R00000X Internal Medicine2019010504MO
207R00000X Internal MedicineME157164FL
207R00000X Internal Medicine7073NE
208M00000X Hospitalist35.151493OH
208M00000X Hospitalist2019010504MO
208M00000X HospitalistME157164FL
207R00000X Internal Medicine35.151493OH
208M00000X Hospitalist054673CT

Practice location

One Hospital Dr
Columbia, MO 65212-0001

Phone 573-884-9066 · Fax 573-884-3037

Mailing address

Po Box 843966
Kansas City, MO 64184-3966

Phone 573-884-3300 · Fax 573-884-0943

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