MEDICARE: LOI'Y HUSSEIN MUSTAFA 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	D0076287	MD

General Provider Information

NPI Number	:	1427214048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOI'Y HUSSEIN MUSTAFA M.D.

Provider Business Mailing Address
First Line	:	7404 EXECUTIVE PL
Second Line	:	STE 300B
City	:	LANHAM
State	:	MD
Zip	:	20706-2268
Country	:	US
Telephone Number	:	301-599-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7404 EXECUTIVE PL
Second Line	:	STE 300B
City	:	LANHAM
State	:	MD
Zip	:	20706-2268
Country	:	US
Telephone Number	:	301-599-9500
Fax Number	:

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

Provider Enumeration Date	:	08/03/2008
Last Update Date	:	12/31/2014

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