Individual
MOHAMED AMIN MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(317) 491-6000
(317) 491-6534
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01087603A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
66707
MN
390200000X
Student in an Organized Health Care Education/Training Program
11019005A
IN
390200000X
Student in an Organized Health Care Education/Training Program
57.251414
OH
Other
Enumeration date
06/20/2016
Last updated
07/25/2022
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