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Individual

DR. NOWWAR G MUSTAFA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
39300 CIVIC CENTER DR STE 200, FREMONT, CA 94538-2337
(510) 248-1670
Mailing address
39300 CIVIC CENTER DR STE 200, FREMONT, CA 94538-2337
(510) 248-1670
(510) 509-2229

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
43443
KY
207RI0011X
Interventional Cardiology Physician
43443
KY
207RI0011X
Interventional Cardiology Physician
Primary
C175533
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139220
OH
01
43443
LICENSE
KY
05
7100123980
KY
Enumeration date
03/09/2007
Last updated
08/12/2025
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