Individual
MAHMOUD MUSTAFA MUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 UNION AVE, 4 SHORB TOWER, MEMPHIS, TN 38104-3415
(901) 478-9183
(901) 478-8957
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
75231
TN
207RN0300X
Nephrology Physician
76358
MN
Other
Enumeration date
09/10/2019
Last updated
03/03/2026
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