Mostafa, Mahmoud I.

Mostafa, Mahmoud I. is an individual health care provider with primary practice located at 1301 Taylor St Ste 3L , Columbia SC 29201-2948. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Mostafa, Mahmoud I. can be contacted via phone (803) 252-0470.

Contact Information

Primary practice address
1301 Taylor St Ste 3L Columbia SC 29201-2948
Fax: (803) 252-0611
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8219 South Carolina

Profile Details

NPI number 1285785352
LBN Legal business name Mostafa, Mahmoud I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 21st, 2008 - about 18 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 1285785352 NPPES
South Carolina MEDICAID 8219

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