Active NPIIndividual provider

Dr. Mustafa Khaled Mustafa, MD

Internal Medicine in Millis, Massachusetts

NPI Number1336384601
Practice location
730 Main St, Millis, MA 02054-1612
Fax
508-376-9932
Last updated
January 15, 2024

Mustafa Khaled Mustafa is an Internal Medicine based in Millis, MA. Mustafa Khaled Mustafa practices in Millis, MA and has the professional credentials of MD. The NPI Number for Mustafa Khaled Mustafa is 1336384601 and holds a License No. 228411 (MA). The current practice location address for Mustafa Khaled Mustafa is 730 Main St, Millis, MA 02054-1612 and can be reached out via phone at 508-376-2515 and via fax at 508-376-9932.

Provider Profile Details

NPI Number
1336384601
Provider Name
Mustafa Khaled Mustafa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
730 Main St, Millis, MA 02054-1612
Phone Number
508-376-2515
Fax Number
508-376-9932
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
December 15, 2008
Last Update Date
January 15, 2024
Certification Date
January 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 Main St
Millis, MA 02054-1612
City
Millis
Zip
02054-1612
Phone Number
508-376-2515
Fax Number
508-376-9932
Millis, MA 02054Get directions →

Provider Business Mailing Address Details

Address
171 Main St Ste 203B
Ashland, MA 01721-1187
City
Ashland
State
MA
Zip
01721-1187
Phone Number
508-881-3029
Fax Number
508-881-1752

License Information

License Number (1)
228411
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
239072
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mustafa Khaled Mustafa, MD?

The NPI number of Dr. Mustafa Khaled Mustafa, MD is 1336384601. It was assigned on December 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Mustafa Khaled Mustafa, MD?

Dr. Mustafa Khaled Mustafa, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 228411.

Where does Dr. Mustafa Khaled Mustafa, MD practice?

The practice location is 730 Main St, Millis, MA 02054-1612. The office can be reached at 508-376-2515 (phone) or 508-376-9932 (fax).

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 1336384601 directly on the NPPES registry website.

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