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Individual

YOUSSEF MOUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229-2664
(173) 355-7356
Mailing address
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229-2664
(173) 355-7356

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
41000488A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300092003
IN
Enumeration date
04/01/2021
Last updated
06/21/2024
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