Mustafa Ajam, MD
Internal Medicine, Cardiovascular Disease in Portland, Oregon
1205368909- Practice location
- 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011
- Phone
- 503-494-8311
- Fax
- —
- Last updated
- September 8, 2025
Mustafa Ajam, MD is a Internal Medicine, Cardiovascular Disease based in Portland, OR. Mustafa Ajam, MD holds the professional credentials of MD. The NPI number for Mustafa Ajam, MD is 1205368909 and holds license No. MD205278 (OR). The current practice location address is 3181 SW Sam Jackson Park RD, Portland, OR 97239-3011 and the office can be reached by phone at 503-494-8311. The NPI was assigned on March 31, 2017 and the record was last updated in NPPES on September 8, 2025.
●Provider Profile Details
- NPI Number
- 1205368909
- Provider Name
- Mustafa Ajam
- Credential
- MD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Internal Medicine, Cardiovascular Disease · 207RC0000X
- Sole Proprietor
- Yes
- Enumeration Date
- March 31, 2017
- Last Update Date
- September 8, 2025
- Certification Date
- September 8, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- Oregon
- ZIP
- 97239-3011
- Country
- US
- Phone Number
- 503-494-8311
✉Business Mailing Address
- Address
- 3181 SW Sam Jackson Park RD
Portland, OR 97239-3011 - City
- Portland
- State
- OR
- ZIP
- 97239-3011
- Phone Number
- 503-494-8311
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine | 207R00000X | No | MD205278 | OR |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | Yes | MD205278 | OR |
| Internal Medicine, Critical Care Medicine | 207RC0200X | No | MD205278 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Portland →?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) and holds license No. MD205278 (OR).
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 at npiregistry.cms.hhs.gov.