Individual
DR. MUSTAFA NOOR MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
105 FINANCIAL PL STE 105, ELIZABETHTOWN, KY 42701-8437
(270) 765-5112
(270) 737-9252
Mailing address
146 CRICKET LN APT 1A, ELIZABETHTOWN, KY 42701-9283
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
55702
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100807220
—
KY
Enumeration date
06/28/2016
Last updated
06/21/2022
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