Individual
MR. MOHAMMED MUSTAFA NAYEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4921
(719) 595-7994
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0062854
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
07/19/2019
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