Individual
HOSSAM ELDIN IMAM MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 COOPER AVE STE 4100, SAGINAW, MI 48602
(989) 583-4700
(989) 583-7173
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4700
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
35.089607
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
4301086127
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2760043
—
OH
Enumeration date
05/19/2007
Last updated
03/26/2021
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