Individual
GHULAM MUSTAFA SURTI
Active
Individual
GHULAM MUSTAFA SURTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD09937
RI
2084P0805X
Geriatric Psychiatry Physician
MD09937
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007008181
MEDICARE ID-TYPE UNSPECIFIED
RI
05
—
02246624
—
NY
01
—
1093831646
BUTLER HOSPITAL PROFESSIONAL BILLING OFFICE
RI
01
—
1104801349
BUTLER HOSPITAL NPI
RI
01
—
15-43150
UNITED BEHAVIORAL HEALTH
RI
01
—
23998-5
BLUE CROSS
RI
01
—
406629
BLUE CHIP
RI
05
—
GS29847
—
RI
01
—
P00362436
MEDICARE RAILROAD
RI
Enumeration date
07/07/2005
Last updated
02/28/2023
Update your record
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