| Maham Mushtaq, PA | |
| 
					16258 Fort St, Southgate, MI 48195-1401  | |
| (734) 250-9062 | |
| Not Available | 
| Full Name | Maham Mushtaq | 
|---|---|
| Gender | Female | 
| Speciality | Physician Assistant | 
| Location | 16258 Fort St, Southgate, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386040046 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10001768A (Indiana) | Secondary | 
| 363A00000X | Physician Assistant | 5601008981 (Michigan) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Maham Mushtaq, PA 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806  | Maham Mushtaq, PA 16258 Fort St, Southgate, MI 48195-1401 Ph: (734) 250-9062  | 
Chelsea Ellis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502  | |
Erina Leka,  Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13405 Westminister St, Southgate, MI 48195 Phone: 734-309-6175  | |
Amanda Lauren Bowman- Collins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15350 Trenton Rd, Southgate, MI 48195 Phone: 734-283-4616 Fax: 734-283-5430  | |
Ms. Kristen Zimmer, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-283-2262 Fax: 734-283-8121  | |
Nabeel Omar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13636 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-283-2262  | |
Kimberly D Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502  |