Individual
DR. MUSTAFA KATHAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4535
(701) 712-4161
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 712-4500
(701) 712-4098
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9178
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100016972
MEDICARE RAILROAD
ND
05
—
12141
—
ND
Enumeration date
05/20/2006
Last updated
04/29/2020
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