Individual
SARAH MUSHTAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVENUE, ROOM 202 MUH, MSC 333, CHARLESTON, SC 29425-3475
(843) 792-7365
Mailing address
169 ASHLEY AVE, ROOM 202 MUH, MSC 333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME139575
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2016
Last updated
06/17/2019
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