Moustafa, Moustafa A

Moustafa, Moustafa A is an individual health care provider with primary practice located at 3709 Magnolia St , Orangeburg SC 29118-1403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Moustafa, Moustafa A can be contacted via phone (803) 531-2220.

Contact Information

Primary practice address
3709 Magnolia St Orangeburg SC 29118-1403
Fax: (803) 531-7975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 17881 South Carolina

Profile Details

NPI number 1356431449
LBN Legal business name Moustafa, Moustafa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jun 19th, 2013 - about 13 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 1356431449 NPPES
South Carolina MEDICAID 178818

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