Provider Demographics
NPI:1508186628
Name:RAMADAN, MOSTAFA HUSSEIN (MD)
Entity Type:Individual
Prefix:
First Name:MOSTAFA
Middle Name:HUSSEIN
Last Name:RAMADAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MOSTAFA
Other - Middle Name:HUSSEIN RAMADAN
Other - Last Name:ABDU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBCHB
Mailing Address - Street 1:100 DELAFIELD RD
Mailing Address - Street 2:STE 113
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215
Mailing Address - Country:US
Mailing Address - Phone:412-782-2400
Mailing Address - Fax:412-782-4565
Practice Address - Street 1:100 DELAFIELD RD STE 113
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3247
Practice Address - Country:US
Practice Address - Phone:412-782-2400
Practice Address - Fax:412-782-4565
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449742208600000X
PAMT196668390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program