Ghulam Mustafa LLC

NPI #1477061612 in Show Low, Arizona

Provider Information

NPI Number: 1477061612
Entity Type: Organization
Organization Name: Ghulam Mustafa LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 22, 2018
Last Updated: Jan 22, 2018

Practice Location

Address: 2401 E HUNT DR
City: Show Low
State: Arizona
ZIP Code: 85901-7920
Phone: (928) 537-5333

Authorized Official

Name: DR. OSAF AHMED, MD
Title: MEMBER
Phone: (520) 269-3473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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