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Individual

DR. GHULAM MUJTABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3223 S LOOP 289, SUITE 600 (PRIVATE OFFICE 630), LUBBOCK, TX 79423
(833) 351-8255
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.077354
IL

Other

Enumeration date
04/13/2020
Last updated
04/23/2026
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