Individual
MUSTAFA I AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2990 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4663
(702) 626-0499
(702) 629-5038
Mailing address
2990 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-4663
(702) 626-0499
(702) 629-5038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15815
NV
2086S0102X
Surgical Critical Care Physician
15815
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15815
NV MEDICAL LICENSE
NV
Enumeration date
06/05/2006
Last updated
03/19/2025
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