Healthcare Provider Details

I. General information

NPI: 1861571218
Provider Name (Legal Business Name): MUHAMMAD MUSLIM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 BROCKTON AVE STE 203
RIVERSIDE CA
92506-0104
US

IV. Provider business mailing address

18000 STUDEBAKER RD STE 800
CERRITOS CA
90703-2671
US

V. Phone/Fax

Practice location:
  • Phone: 951-394-7028
  • Fax: 951-224-9899
Mailing address:
  • Phone: 562-735-3226
  • Fax: 562-381-9685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number44404
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC192251
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number0452015
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: