GHULAM MUSTAFA LLC (NPI# 1477061612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477061612 |
| Entity Type | Organization |
| Organization Name | GHULAM MUSTAFA LLC |
| Practice Address |
2401 E Hunt Dr Show Low AZ 85901-7920 |
| Mailing Address |
6989 N Starlight Ridge Pkwy Lakeside AZ 85929-5086 |
| Practice Telephone | 9285375333 |
| Practice Fax Number | 9285371762 |
| Mailing Telephone | 5202693473 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | DR. OSAF AHMED (MEMBER) |
| Authorized Official Telephone | 5202693473 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 29210 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 29210 | 01 |
| Street Address |
2401 E HUNT DR |
| City | SHOW LOW |
| State | AZ |
| Zip Code | 85901-7920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265779516 | Haven of Show Low, LLC | Skilled Nursing Facility | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2013-01-07 |
| 1881194629 | Haven of Show Low Alf LLC | Assisted Living Facility | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2018-02-19 |
| 1619419009 | Jennifer Deatherage | Occupational Therapy Assistant | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2016-11-16 |
| 1225582356 | Erin Rene' Funkhouser | Speech-Language Pathologist | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2016-08-05 |
| 1669823688 | Russel Lisonbee | Physical Therapy Assistant | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2016-06-30 |
| 1588023204 | Leslie Campbell | Physical Therapy Assistant | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2016-02-23 |
| 1295192896 | Christine Henry | Speech-Language Pathologist | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2016-01-27 |
| 1023489515 | Margaret Moyer Irving | Physical Therapist | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2015-10-09 |
| 1609264399 | Katrina Anne Million | Physical Therapy Assistant | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2015-01-02 |
| 1639594039 | Jesus Hinojosa | Occupational Therapy Assistant | 2401 E Hunt Dr, Show Low, AZ 85901-7920 | 2014-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468804 | Summit Healthcare Association | Pharmacy | 4951 South White Mountain Road, Bldg A., Suite 1500, Show Low, AZ 85901 | 2018-12-17 |
| 1821446386 | Ivy L Loney | Social Worker | 580 E. Old Linden Rd #6, Show Low, AZ 85901 | 2016-05-25 |
| 1750749214 | Summit Healthcare | General Acute Care Hospital | 181 East Sylvester, Show Low, AZ 85901 | 2016-01-29 |
| 1194153916 | Alpha & Omega Physical Therapy Acc | Physical Therapist | 861 E Cooley St # B, Show Low, AZ 85901 | 2013-10-15 |
| 1033454707 | North Country Healthcare, Inc. | Family Medicine | 2600 E. Show Low Lake Rd., Show Low, AZ 85901 | 2012-12-06 |
| 1073740098 | North Country Healthcare, Inc. | Clinic/Center | 2650 E. Show Low Lake Rd, Suite 1, Show Low, AZ 85901 | 2009-06-17 |
| 1215174768 | Coast To Coast Air Ambulance, LLC | Ambulance | 3151 Airport Loop Ste 2, Show Low, AZ 85901 | 2009-01-20 |
| 1487899712 | Akdhc, LLC | Internal Medicine | 2051 Evergreen Lane, Ste D, Your Family Practice Team, Show Low, AZ 85901 | 2008-12-16 |
| 1851553192 | Health Angels Companion Care, Inc. | Technician | 1001 E. Huning, Show Low, AZ 85901 | 2008-06-27 |
| 1528231586 | Peggy Johnson | Occupational Therapist | Cusd# 24 Hwy 191, Chinle, AZ 85901 | 2008-04-10 |
| Find all providers in zip 85901 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538355607 | B S Uhall Md, P.l.l.c. | Internal Medicine | 5171 Cub Lake Rd Ste C380, Show Low, AZ 85901-7850 | 2007-09-21 |
| 1366557563 | Imran A Ata | Internal Medicine | 5300 S Sutter Dr Ste 1, Show Low, AZ 85901-8055 | 2006-08-20 |
| 1962407601 | Simranjit Singh Galhotra | Internal Medicine | 5300 S Sutter Dr, Ste 1, Show Low, AZ 85901-8050 | 2005-06-18 |
| 1467878108 | Summit Healthcare Medical Associates | Internal Medicine | 5171 Cub Lake Rd, Suite B230, Show Low, AZ 85901-7888 | 2014-03-05 |
| 1467756205 | Comprehensive Hospitalist Services of Arizona, LLC | Internal Medicine | 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | 2011-01-10 |
| 1316959265 | Steven B. Chintis, D.o., PC | Internal Medicine | 5171 Cub Lake Rd, Suite C380, Show Low, AZ 85901-7888 | 2006-08-12 |
| 1770500530 | Leon A Driss Md PC | Internal Medicine | 5171 Cub Lake Rd, Suite C380, Show Low, AZ 85901-7888 | 2006-07-17 |
| 1326070582 | Stephen Claude Betts | Internal Medicine | 2450 E Show Low Lake Rd, Suite 1, Show Low, AZ 85901-7953 | 2006-07-07 |
| 1396775680 | Osaf Ahmed | Internal Medicine | 2450 E Show Low Lake Rd, #1, Show Low, AZ 85901-7953 | 2006-07-03 |
| 1992778740 | Internal Medicine Associates Pllc | Internal Medicine | 5171 Cub Lake Rd, Suite C380, Show Low, AZ 85901-7888 | 2006-02-10 |
| Find all providers in SHOW LOW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.