Individual
DR. MAHMOUD I. MOSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 TAYLOR ST STE 3L, COLUMBIA, SC 29201-2948
(803) 252-0470
(803) 252-0611
Mailing address
1301 TAYLOR ST STE 3L, COLUMBIA, SC 29201-2948
(803) 252-0470
(803) 252-0611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8219
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8219
—
SC
Enumeration date
01/16/2007
Last updated
10/21/2008
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