Individual
DR. HASSAN MAJED MOSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 PAGE AVE STE B, JACKSON, MI 49201-2462
(517) 205-4800
Mailing address
1 FORD PL STE 2E, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01077342A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
4301506086
MI
390200000X
Student in an Organized Health Care Education/Training Program
11018018A
IN
Other
Enumeration date
07/11/2014
Last updated
04/08/2022
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