Individual
YASSIN M MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD, STE 201, DAYTON, OH 45459
(937) 401-7575
(937) 401-7570
Mailing address
1989 MIAMISBURG CENTERVILLE RD, STE 201, DAYTON, OH 45459-3823
(937) 401-7575
(937) 401-7570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.126834
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35.126834
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001007847
ANTHEM
OH
05
—
0165116
—
OH
Enumeration date
11/14/2010
Last updated
05/29/2018
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