| Ghulam Mustafa LLC | |
|
2401 E Hunt Dr Show Low AZ 85901-7920 | |
| (928) 537-5333 | |
| (928) 537-1762 |
| Full Name | Ghulam Mustafa LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2401 E Hunt Dr, Show Low, Arizona |
| Authorized Official Name and Position | Osaf Ahmed (MEMBER) |
| Authorized Official Contact | 5202693473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghulam Mustafa LLC 6989 N Starlight Ridge Pkwy Lakeside AZ 85929-5086 Ph: (520) 269-3473 | Ghulam Mustafa LLC 2401 E Hunt Dr Show Low AZ 85901-7920 Ph: (928) 537-5333 |
| NPI Number | 1477061612 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Medicare PECOS PAC ID | 2062771975 |
|---|---|
| Medicare Enrollment ID | O20180123002037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477061612 | NPI | - | NPPES |
| 29210 | Other | AZ | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 29210 (Arizona) | Primary |
| Provider Name | Osaf Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396775680 PECOS PAC ID: 6103739735 Enrollment ID: I20031110000693 |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 E. Show Low Lake Rd., Show Low, AZ 85901 Phone: 928-537-4300 |
North Country Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 Phone: 928-537-4300 Fax: 928-537-4301 |
Brewer Chiropractic LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 581 E Old Linden Rd, Show Low, AZ 85901 Phone: 928-537-2600 Fax: 928-337-3291 |
Steven B. Chintis, D.O., PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5171 Cub Lake Rd, Suite C380, Show Low, AZ 85901 Phone: 928-537-1077 Fax: 928-532-0757 |
Namitha Kishore Bhat Sole Mbr Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6746 |
Elk Ridge Show Low Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2650 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 520-670-3909 Fax: 520-309-2560 |