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NPI Code Detail

MEDICARE: AMJAD ALI MUSTHAFA M.D.

MEDICARE: AMJAD ALI MUSTHAFA 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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianA70238CA

Other Identifiers

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

General Provider Information

NPI Number : 1558372581
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMJAD ALI MUSTHAFA M.D.
Provider Business Mailing Address
First Line : PO BOX 991844
Second Line :
City : REDDING
State : CA
Zip : 96099-1844
Country : US
Telephone Number : 530-246-9806
Fax Number : 530-246-9808
Provider Business Practice Location Address
First Line : 2175 ROSALINE AVE
Second Line :
City : REDDING
State : CA
Zip : 96001-2549
Country : US
Telephone Number : 530-225-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2006
Last Update Date : 04/08/2026

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