Individual
DR. GOLAM MOSTAFA WARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 GENESEE ST, BUFFALO, NY 14211-1924
(313) 891-5437
(313) 891-0842
Mailing address
2603 OSBORNE RD STE E, SAINT MARYS, GA 31558-8907
(912) 510-3420
(912) 510-4375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
296648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4670900
—
MI
Enumeration date
06/18/2006
Last updated
01/14/2025
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