Ehtesham Mustafa, PA-C

Physician Assistant · Glen Allen, VA

Individual Active NPI

NPI number 1104484609

Practice location

4900 Cox Rd Ste 150
Glen Allen, VA 23060-6507
Phone
(804) 346-1780

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NPI record

NPI
1104484609
Entity type
Individual (Type 1)
Enumeration date
May 30, 2019
Last updated
March 16, 2022
Certified
March 16, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

About Ehtesham Mustafa

Ehtesham Mustafa, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4900 Cox Rd Ste 150, Glen Allen, VA 23060-6507. The NPI number 1104484609 was assigned on May 30, 2019 and the record was last updated on March 16, 2022.

Frequently asked questions

What is the NPI number of Ehtesham Mustafa, PA-C?

The NPI number is 1104484609.

What is the phone number of Ehtesham Mustafa?

The phone number listed for the practice location is (804) 346-1780.

Where is Ehtesham Mustafa located?

4900 Cox Rd Ste 150, Glen Allen, VA 23060-6507.

What is the taxonomy code for Ehtesham Mustafa?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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