Organization
NORTHLAND MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSTAFA AHMED M.D. (PRESIDENT)
(614) 679-2903
Entity
Organization
Contact information
Practice address
1495 MORSE RD, 310, COLUMBUS, OH 43229-6478
(614) 679-2903
Mailing address
1495 MORSE RD, 304, COLUMBUS, OH 43229-6478
(614) 679-2903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35. 075268
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100881
—
OH
Enumeration date
10/19/2006
Last updated
08/22/2020
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