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Individual

MUJTABA F TAPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2060 E PARRISH AVE, OWENSBORO, KY 42303-1448
(270) 684-5034
(270) 685-1874
Mailing address
2060 E PARRISH AVE, OWENSBORO, KY 42303-1448
(270) 684-5034
(270) 685-1874

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059296A
IN
207RR0500X
Rheumatology Physician
01059296A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200499180D
IN
05
64090368
KY
Enumeration date
09/19/2005
Last updated
03/12/2025
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