Provider Demographics
NPI:1396356572
Name:BARBHUIYA, MUSTAFA AHMED (PHD, NRCC-CC)
Entity Type:Individual
Prefix:DR
First Name:MUSTAFA
Middle Name:AHMED
Last Name:BARBHUIYA
Suffix:
Gender:M
Credentials:PHD, NRCC-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:759 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-2812
Mailing Address - Country:US
Mailing Address - Phone:413-794-4512
Mailing Address - Fax:413-794-3195
Practice Address - Street 1:759 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01199-2360
Practice Address - Country:US
Practice Address - Phone:413-794-4512
Practice Address - Fax:413-794-3195
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYBARBM3ENDO247ZC0005X
NYBARBM3TSMQ247ZC0005X
NYBARBM3VIRO247ZC0005X
NYBARBM3CLTO247ZC0005X
NYBARBM3BLLE247ZC0005X
NYBARBM3BPAG247ZC0005X
PA4759247ZC0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBARBM3TSMQOtherCLIA LAB DIRECTOR THER. SUB. MON./QUANT. TOX.
NYBARBM3BLLEOtherCLIA LAB DIRECTOR BLOOD LEAD
4759OtherNATIONAL REGISTRY OF CERTIFIED CHEMISTS
NYBARBM3VIROOtherCLIA LAB DIRECTOR VIROLOGY
266809OtherAMERICAN SOCIETY OF CLINICAL PATHOLOGY
NYBARBM3BPAGOtherCLIA LAB DIRECTOR BLOOD PH AND GASES
NYBARBM3CLTOOtherCLIA LAB DIRECTOR CLINICAL TOXICOLOGY
NYBARBM3ENDOOtherCLIA LAB DIRECTOR ENDOCRINOLOGY
267OtherAMERICAN SOCIETY OF CLINICAL PATHOLOGY
NYBARBM3CLINOtherCLIA LAB DIRECTOR CLINICAL CHEMISTRY