Individual
DR. MUSTAFA SHADI RIFAAT BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
2100 ERWIN RD, DURHAM, NC 27710-0001
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.117252
IL
2085R0202X
Diagnostic Radiology Physician
Primary
2009-00278
NC
Other
Enumeration date
05/25/2007
Last updated
05/28/2009
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