Moazam, Mustafa Mohammed

Moazam, Mustafa Mohammed is an sole proprietor health care provider with primary practice located at 7106 Spencer Hwy , Pasadena TX 77505-1806. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Moazam, Mustafa Mohammed can be contacted via phone (832) 940-7071.

Contact Information

Primary practice address
7106 Spencer Hwy Pasadena TX 77505-1806
Phone: (832) 940-7071
Fax: (877) 761-6002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X N6499 Texas
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X N6499 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N6499 Texas

Profile Details

NPI number 1306987474
LBN Legal business name Moazam, Mustafa Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306987474 NPPES
Texas MEDICAID 218754401

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