MEDICARE: MURTAZA MUSSAJI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	M3335	TX

General Provider Information

NPI Number	:	1487705034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MURTAZA MUSSAJI DO

Provider Business Mailing Address
First Line	:	4910 TELEPHONE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3504
Country	:	US
Telephone Number	:	713-641-3900
Fax Number	:	713-641-3901

Provider Business Practice Location Address
First Line	:	4910 TELEPHONE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-3504
Country	:	US
Telephone Number	:	713-641-3900
Fax Number	:	713-641-3901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	05/17/2016

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