Individual
DR. MUSTAFA SALEHMOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5645 MAIN ST, WA-100, FLUSHING, NY 11355-5045
(718) 670-1405
Mailing address
5645 MAIN ST, WA-100, FLUSHING, NY 11355-5045
(718) 670-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235619
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
235619
NY
207RP1001X
Pulmonary Disease Physician
Primary
235619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03159253
—
NY
Enumeration date
10/19/2005
Last updated
04/06/2010
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