DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MOHAMMAD ASIM MUSTAFA, M.D.

Active Sole Proprietor

DR. MOHAMMAD ASIM MUSTAFA, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in ROCKFORD, Illinois. NPI 1639265259 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · ROCKFORD, IL

Registration Details

NPI Number
1639265259
Provider Type
Individual
Gender
Male
NPI Issued
Oct 4, 2006 (19.885089568286 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
461 N. MULFORD ROAD
SUITE 12
ROCKFORD, IL, 611075165
Browse IL providers · Browse ZIP 61107
Phone
8153981009
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in ROCKFORD, IL

Name Credential NPI
DR. ERROL CHRISTOPHER BAPTIST M.D. 1043233471
ARUNA S SHAH M.D. 1225138142
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.