Individual
KASHIF MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT ST STE C3350, SPRINGFIELD, MA 01107-1619
(413) 794-7629
(413) 794-1767
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292461
MA
208M00000X
Hospitalist Physician
Primary
292461
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2019
Last updated
09/08/2022
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