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NPI Code Detail

MEDICARE: MENNATALLA HISHAM EL-MUFTI MD

MEDICARE: MENNATALLA HISHAM EL-MUFTI MD
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
12084P0800XPsychiatry PhysicianMD486406PA

General Provider Information

NPI Number : 1740818129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MENNATALLA HISHAM EL-MUFTI MD
Provider Business Mailing Address
First Line : 8237 TENBROOK DR
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-3845
Country : US
Telephone Number : 412-360-6532
Fax Number :
Provider Business Practice Location Address
First Line : 4100 ALLEQUIPPA ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15240-1002
Country : US
Telephone Number : 412-360-6532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 10/27/2025

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