Provider Demographics
NPI:1598942203
Name:MUSHTAHA, AKRAM A (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:AKRAM
Middle Name:A
Last Name:MUSHTAHA
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
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Mailing Address - Street 1:5048 CRENSHAW RD # 100
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77505-3047
Mailing Address - Country:US
Mailing Address - Phone:713-475-5863
Mailing Address - Fax:713-475-5920
Practice Address - Street 1:5048 CRENSHAW RD # 100
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3047
Practice Address - Country:US
Practice Address - Phone:713-475-5863
Practice Address - Fax:713-475-5920
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ07812080P0201X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035574501Medicaid
TX00R22BMedicare UPIN
TX00R22BMedicare PIN