Moustafa K Moustafa, MD | |
1215 Lee St, Box 800719, Charlottesville, VA 22908-0816 | |
(434) 924-2150 | |
Not Available |
Full Name | Moustafa K Moustafa |
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Gender | Male |
Speciality | Surgery |
Location | 1215 Lee St, Charlottesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932595907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101262699 (Virginia) | Primary |
Entity Name | Sentara Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
Entity Name | University Of Virginia Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
Entity Name | Uva Community Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
Entity Name | Bon Secours Medical Group Richmond Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477112225 PECOS PAC ID: 8022440056 Enrollment ID: O20191113002170 |
Mailing Address | Practice Location Address |
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Moustafa K Moustafa, MD 12912 Kain Rd, Glen Allen, VA 23059-5733 Ph: () - | Moustafa K Moustafa, MD 1215 Lee St, Box 800719, Charlottesville, VA 22908-0816 Ph: (434) 924-2150 |
Maneesh Koneru, Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2150 | |
Melinda L Bowles-childress, ACNP Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-3627 Fax: 434-243-9433 | |
Yazan Abu Orabi Al-adwan, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 Jefferson Park Ave, Charlottesville, VA 22903 Phone: 800-543-8814 Fax: 434-924-5539 | |
Alex Judd, Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee St Box 800719, Charlottesville, VA 22908 Phone: 434-924-2150 | |
Mrs. Lauren Amber Huck, ACNPC-AG, RN Surgery Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-0301 | |
Bradley M. Rodgers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: Uva Hospital W, Hospital Drive, Charlottesville, VA 22908 Phone: 434-924-2673 Fax: 434-924-2656 | |
Michael D. Trahan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Drive, 5th Floor, Charlottesville, VA 22911 Phone: 434-654-5260 Fax: 434-654-5262 |