Dr Mustafa Mohamed Alikhan, MD | |
126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | |
(573) 596-0029 | |
Not Available |
Full Name | Dr Mustafa Mohamed Alikhan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 126 Missouri Ave, Fort Leonard Wood, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902037393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD-12807 (Hawaii) | Primary |
Entity Name | County Of Los Angeles |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
Mailing Address | Practice Location Address |
---|---|
Dr Mustafa Mohamed Alikhan, MD 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0029 | Dr Mustafa Mohamed Alikhan, MD 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 Ph: (573) 596-0029 |
Andrew Mcgrain, MD Radiology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 | |
Michael R Povlow, MD Radiology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-266-2158 | |
Dr. Jared Ray Seaman, MD Radiology Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 210-906-3157 |