Healthcare Provider Details

I. General information

NPI: 1578898698
Provider Name (Legal Business Name): CT CENTER OF FLINT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 S LINDEN RD
FLINT MI
48532-3406
US

IV. Provider business mailing address

1165 S LINDEN RD STE B
FLINT MI
48532-3406
US

V. Phone/Fax

Practice location:
  • Phone: 810-600-6300
  • Fax: 810-600-6222
Mailing address:
  • Phone: 810-600-6300
  • Fax: 810-600-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MUSTAFA HASSAN MAHMOUD HASSAN
Title or Position: MD/ PRESIDENT
Credential: M.D.
Phone: 810-600-6300