Provider Demographics
NPI:1508976226
Name:ABUZEID, MOSTAFA I (MD)
Entity Type:Individual
Prefix:MR
First Name:MOSTAFA
Middle Name:I
Last Name:ABUZEID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2 HURLEY PLZ
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5903
Mailing Address - Country:US
Mailing Address - Phone:810-257-9714
Mailing Address - Fax:810-762-7040
Practice Address - Street 1:2 HURLEY PLZ
Practice Address - Street 2:SUITE 209
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5903
Practice Address - Country:US
Practice Address - Phone:810-257-9714
Practice Address - Fax:810-762-7040
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIMA045116207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC2559OtherMCARE
MIC78913OtherHAP
MI1602502321OtherHEALTHPLUS
MI506571OtherMERCY CARE
MI1002563OtherMCLAREN HEALTH PLAN
MI1002563OtherMCLAREN HEALTH ADVANTAGE
MI50671OtherCARE CHOICES
MIC78913Medicare UPIN