Individual
OMAR HUSSEIN SALEM EL MUSTAFAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
96 JONATHAN LUCAS STREET MSC 620 SUITE 623-A, CHARLESTON, SC 29425-0001
(843) 792-4538
(843) 792-8523
Mailing address
96 JONATHAN LUCAS STREET MSC 620 SUITE 623-A, CHARLESTON, SC 29425-0001
(843) 792-4538
(843) 792-8523
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
LL93437
SC
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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