Mushtaque, Mohammed

Mushtaque, Mohammed is an individual health care provider with primary practice located at 119 Belmont St , Worcester MA 01605-2903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mushtaque, Mohammed can be contacted via phone (508) 334-8297.

Contact Information

Primary practice address
119 Belmont St Worcester MA 01605-2903
Fax: (508) 334-8204
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48686 Massachusetts

Profile Details

NPI number 1285618587
LBN Legal business name Mushtaque, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Nov 25th, 2020 - about 6 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 1285618587 NPPES
Massachusetts MEDICAID 110004577A

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