- Practice location
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone
- 503-494-8311
- Fax
- —
- Last updated
- September 8, 2025
Mustafa Ajam is an Internal Medicine, Cardiovascular Disease based in Portland, OR. Mustafa Ajam practices in Portland, OR and has the professional credentials of MD. The NPI Number for Mustafa Ajam is 1205368909 and holds a License No. MD205278 (OR). The current practice location address for Mustafa Ajam is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and can be reached out via phone at 503-494-8311.
Provider Profile Details
- NPI Number
- 1205368909
- Provider Name
- Mustafa Ajam
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone Number
- 503-494-8311
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 31, 2017
- Last Update Date
- September 8, 2025
- Certification Date
- September 8, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- Oregon
- Zip
- 97239-3011
- Phone Number
- 503-494-8311
Provider Business Mailing Address Details
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- OR
- Zip
- 97239-3011
- Phone Number
- 503-494-8311
License Information
- License Number (1)
- MD205278
- License State (1)
- OR
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD205278
- License State (2)
- OR
- Taxonomy (2)
- Internal Medicine, Cardiovascular Disease · 207RC0000X · Primary
- License Number (3)
- MD205278
- License State (3)
- OR
- Taxonomy (3)
- Internal Medicine, Critical Care Medicine · 207RC0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine, Cardiovascular Disease providers near Portland, OR
View all Internal Medicine, Cardiovascular Disease providers in Portland →- Dr. Reyhaneh M Akhavein, MDInternal Medicine, Cardiovascular Disease · NPI 1699064063
- Dr. Shaun L Ageno, MDInternal Medicine, Cardiovascular Disease · NPI 1760692529
- Dr. Vratika Agarwal, MBBSInternal Medicine, Cardiovascular Disease · NPI 1780965228
- Masud Ahmad, MDInternal Medicine, Cardiovascular Disease · NPI 1780620880
Frequently Asked Questions
What is the NPI number of Mustafa Ajam, MD?
The NPI number of Mustafa Ajam, MD is 1205368909. It was assigned on March 31, 2017 and is currently active in the NPPES registry.
What is the specialty of Mustafa Ajam, MD?
Mustafa Ajam, MD is registered under the primary taxonomy Internal Medicine, Cardiovascular Disease (code 207RC0000X), licensed in OR under license number MD205278.
Where does Mustafa Ajam, MD practice?
The practice location is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011. The office can be reached at 503-494-8311 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205368909 directly on the NPPES registry website.