MEDICARE: DR. ALVINA MUSHTAQ M.B.B.S.

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	C0007711	MD

General Provider Information

NPI Number	:	1851596365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVINA MUSHTAQ M.B.B.S.

Provider Business Mailing Address
First Line	:	3049 LOST CREEK BLVD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20724-2920
Country	:	US
Telephone Number	:	703-624-0057
Fax Number	:

Provider Business Practice Location Address
First Line	:	2004 ROCK SPRING RD
Second Line	:
City	:	FOREST HILL
State	:	MD
Zip	:	21050-2607
Country	:	US
Telephone Number	:	443-567-5573
Fax Number	:

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	02/24/2021

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