Individual
SYED JAMAL MUSTAFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10634 E RIVERSIDE DR STE 130, BOTHELL, WA 98011-3758
(425) 806-5021
Mailing address
PO BOX 4247, BELLEVUE, WA 98009-4247
(425) 488-7367
(425) 488-8516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00034219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112333
—
WA
Enumeration date
08/01/2006
Last updated
07/01/2008
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