Organization
AA&S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASSAD MUKHTOY MD (PHYSICIAN)
(314) 601-4078
Entity
Organization
Contact information
Practice address
650 S KIBBY ST, CLINTON, IN 47842
(812) 201-6299
Mailing address
2093 PHILADELPHIA PIKE #1350, CLAYMONT, DE 19703
(812) 201-6299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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