Individual
KAMRAN MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761
(260) 463-2133
(260) 463-3775
Mailing address
PO BOX 236, LAGRANGE, IN 46761-0236
(260) 463-2133
(260) 463-3775
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301103687
MI
Other
Enumeration date
07/03/2013
Last updated
06/21/2022
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