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Individual
MIAN MUSHTAQ
Active
Individual
MIAN MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01047786A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437800
—
IN
05
—
64053093
—
KY
Enumeration date
05/26/2006
Last updated
09/04/2026
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