Individual
SAIM MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036164321
IL
208M00000X
Hospitalist Physician
Primary
036164321
IL
208M00000X
Hospitalist Physician
110806
GA
Other
Enumeration date
03/31/2020
Last updated
02/20/2026
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