Othman, Mufid Ata

Othman, Mufid Ata is an individual health care provider with primary practice located at 2525 2Nd St Suite 150, Macon GA 31206-2223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Othman, Mufid Ata can be contacted via phone (478) 254-7353.

Contact Information

Primary practice address
2525 2Nd St Suite 150 Macon GA 31206-2223
Phone: (478) 254-7353
Fax: (478) 471-6874
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 020786 Georgia

Profile Details

NPI number 1962493379
LBN Legal business name Othman, Mufid Ata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Feb 18th, 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 1962493379 NPPES
Georgia MEDICAID 000183598AH
Georgia MEDICAID 000183598AI
Georgia MEDICAID 000183598AK
Georgia MEDICAID 000183598AL
Georgia MEDICAID 000183598AF
Georgia MEDICAID 000183598AG
Georgia MEDICAID 000183598AJ
Georgia MEDICAID 000183598AE
Georgia MEDICAID 000183598AM
Georgia MEDICAID 000183598AN

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