MEDICARE: DR. ABDUL AZIM MUSTAPHA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35078530	OH
2	207XS0106X	Orthopaedic Hand Surgery Physician	35078530	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063409324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABDUL AZIM MUSTAPHA M.D.

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 HOSPITAL DR FL 1
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-8001
Country	:	US
Telephone Number	:	419-383-3761
Fax Number	:	419-383-2932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	01/13/2026

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