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General NPI Number Information
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NPI Number | 1700432408
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Entity Type | Organization
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Legal Business Name | MUSTAFA H. ALIBHAI, M.D. PC
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Dates
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Enumeration Date | 08/18/2019
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 1081 KINWEST PKWY STE 110
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City | IRVING
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State | TX
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Zip | 75063-3412
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Country | US
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Telephone | 469-639-0953
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Fax | 866-248-5090
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Provider Business Mailing Address
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Address Line | 1081 KINWEST PKWY STE 110
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City | IRVING
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State | TX
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Zip | 75063-3412
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Country | US
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Telephone | 469-639-0953
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Fax | 866-248-5090
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUSTAFA HUSSAMUDDIN ALIBHAI
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Credential | MD
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Telephone | 469-733-4730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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