Muhareb Mustafa, MD | |
743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | |
(770) 219-8730 | |
Not Available |
Full Name | Muhareb Mustafa |
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Gender | Male |
Speciality | Family Medicine |
Location | 743 Spring St Ne Ste 710, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114554458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301509740 (Michigan) | Primary |
Entity Name | Iha Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Mailing Address | Practice Location Address |
---|---|
Muhareb Mustafa, MD 1600 S Canton Center Rd Ste 200, Canton, MI 48188-6276 Ph: (734) 398-7880 | Muhareb Mustafa, MD 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 Ph: (770) 219-8730 |
Margaret Grifa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Carlos Lucero, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-7777 | |
Philip O. Kimsey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1292 Athens St, Gainesville, GA 30507 Phone: 770-219-9400 | |
Dr. John E Delzell Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-9445 | |
Gary Alan Jordan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-7777 Fax: 770-219-7778 | |
William K Bostock, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 102, Gainesville, GA 30501 Phone: 770-219-9445 |