Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. JALLA TARAK MUSTAFA
Active
Individual
DR. JALLA TARAK MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009516
AZ
207R00000X
Internal Medicine Physician
Primary
20A24311
CA
207R00000X
Internal Medicine Physician
OT019576
PA
Other
Enumeration date
06/25/2019
Last updated
12/08/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up