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General NPI Number Information
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NPI Number | 1245646397
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Entity Type | Individual
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Provider Name | MUHAMMAD UMAIR MUSHTAQ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 2330 SHAWNEE MISSION PKWY STE 210
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone | 347-593-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 SHAWNEE MISSION PKWY STE 210
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City | WESTWOOD
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State | KS
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Zip | 66205-2005
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Country | US
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Telephone | 913-945-5793
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 66849-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 04-42954
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License Number State | KS
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