Provider Demographics
NPI:1275396442
Name:ADEN, MUSTAFA (MD)
Entity Type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:
Last Name:ADEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MUSTAFA
Other - Middle Name:ABDIKHANI
Other - Last Name:ADEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MUSTAFA ADEN
Mailing Address - Street 1:3335 E GRANGE AVE
Mailing Address - Street 2:
Mailing Address - City:CUDAHY
Mailing Address - State:WI
Mailing Address - Zip Code:53110-2237
Mailing Address - Country:US
Mailing Address - Phone:414-628-1690
Mailing Address - Fax:
Practice Address - Street 1:3335 E GRANGE AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-2237
Practice Address - Country:US
Practice Address - Phone:414-628-1690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company