Individual
ASIM MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 PORTLAND AVE; WILSON BUILDING, ROCHESTER, NY 14621
(585) 922-4136
(585) 922-5761
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4136
(585) 922-5761
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
310966
NY
207RG0100X
Gastroenterology Physician
MD486655
PA
208M00000X
Hospitalist Physician
48460
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530360
—
TN
01
—
6035999
BCBS
TN
05
—
7100221700
—
KY
Enumeration date
07/10/2009
Last updated
02/03/2026
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