Individual
GHULAM MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8044
(717) 531-5596
Mailing address
185 RYKOWSKI LN STE 101, MIDDLETOWN, NY 10941-4055
(845) 692-0030
(845) 692-0037
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
300217
NY
207U00000X
Nuclear Medicine Physician
Primary
MD467924
PA
207UN0902X
Nuclear Imaging & Therapy Physician
300217-01
NY
2085R0202X
Diagnostic Radiology Physician
MD467924
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06368125
—
NY
Enumeration date
03/19/2015
Last updated
02/05/2024
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