Individual
DR. OMAR MUSHFIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-2627
(770) 219-7365
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
057399
GA
207RN0300X
Nephrology Physician
Primary
057399
GA
Other
Enumeration date
07/04/2006
Last updated
12/18/2015
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