Individual
MUSTAFA NAKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
8777 BROADWAY STE B, MERRILLVILLE, IN 46410-6694
(219) 738-5316
(219) 738-5708
Mailing address
278 N 755 W, HOBART, IN 46342-9407
(617) 449-8274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01081967A
IN
207Q00000X
Family Medicine Physician
036157145
IL
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
01081967A
IN
207QB0002X
Obesity Medicine (Family Medicine) Physician
036157145
IL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
036157145
IL
Other
Enumeration date
05/09/2016
Last updated
08/14/2024
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