Provider Demographics
NPI:1659504009
Name:MUSTAFA, REEM (MD)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:MUSTAFA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:MS 3002
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-6074
Mailing Address - Fax:913-588-3867
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 3002
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-6074
Practice Address - Fax:913-588-3867
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
MO2012008865207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine