MEDICARE: DR. MOSTAFA MOHAMED REZK DO

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	207Q00000X	Family Medicine Physician	2013-01240	NC

General Provider Information

NPI Number	:	1316238173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSTAFA MOHAMED REZK DO

Provider Business Mailing Address
First Line	:	25 N HAMPSTEAD VILLAGE DR
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-3932
Country	:	US
Telephone Number	:	910-803-0340
Fax Number	:	910-259-3013

Provider Business Practice Location Address
First Line	:	25 N HAMPSTEAD VILLAGE DR
Second Line	:
City	:	HAMPSTEAD
State	:	NC
Zip	:	28443-3932
Country	:	US
Telephone Number	:	910-803-0340
Fax Number	:	910-803-0342

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

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	06/24/2025

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