Shadi Suhail Mustafa, MD | |
2055 Kimball Ave Ste 101, Waterloo, IA 50702-5047 | |
(319) 272-2112 | |
(319) 272-2107 |
Full Name | Shadi Suhail Mustafa |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2055 Kimball Ave Ste 101, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508356460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R-11097 (Iowa) | Primary |
Entity Name | Avera Holy Family |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1508810177 PECOS PAC ID: 7113837428 Enrollment ID: O20061104000150 |
Mailing Address | Practice Location Address |
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Shadi Suhail Mustafa, MD 2055 Kimball Ave Ste 101, Waterloo, IA 50702-5047 Ph: (319) 272-2112 | Shadi Suhail Mustafa, MD 2055 Kimball Ave Ste 101, Waterloo, IA 50702-5047 Ph: (319) 272-2112 |
Kurtis Alan Lucas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 Kimball Ave Ste 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Mark J Louviere, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 212 W Dale St, Waterloo, IA 50703 Phone: 319-235-3568 Fax: 319-235-5013 | |
Dr. Robert L Friedman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Manpreet Singh Gill, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 | |
Sejla Cejvanovic, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Emily Rose Pursley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Medical Arts Bldg., 2055 Kimball Ave. Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 | |
Brett D Van Kley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2055 Kimball Ave, Suite 101, Waterloo, IA 50702 Phone: 319-272-2112 Fax: 319-272-2107 |