Individual
MUMTAZ MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 DELAWARE ST SE, UMN DEPT. OF MEDICINE, MMC 741, MINNEAPOLIS, MN 55455-0341
(612) 626-6403
Mailing address
420 DELAWARE ST SE, UMN DEPT. OF MEDICINE, MMC 741, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52501
MN
208000000X
Pediatrics Physician
52501
MN
Other
Enumeration date
02/14/2007
Last updated
04/23/2012
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