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General NPI Number Information
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NPI Number | 1972392439
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Entity Type | Organization
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Legal Business Name | MOUNTAIN SPRING VASCULAR
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2012 S TOLLGATE RD STE 111-112
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City | BEL AIR
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State | MD
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Zip | 21015-5900
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Country | US
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Telephone | 443-282-9424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | STEVENSON
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State | MD
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Zip | 21153-0101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | SALMAN MUFTI
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Credential | MD
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Telephone | 888-628-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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