Ghanim, Mostafa

Ghanim, Mostafa is an individual health care provider with primary practice located at 1703 Polaris Cir Ste 1 , Ottawa IL 61350-1772. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Ghanim, Mostafa can be contacted via phone (815) 705-1000.

Contact Information

Primary practice address
1703 Polaris Cir Ste 1 Ottawa IL 61350-1772
Phone: (815) 705-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 268508 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD-46362 Iowa

Profile Details

NPI number 1598118895
LBN Legal business name Ghanim, Mostafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2016
Last updated Aug 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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