Provider Demographics
NPI:1710507462
Name:ABID, MUSTAFA AL-HASSAN
Entity Type:Individual
Prefix:
First Name:MUSTAFA
Middle Name:AL-HASSAN
Last Name:ABID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 WEATHERSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9303
Mailing Address - Country:US
Mailing Address - Phone:540-607-0187
Mailing Address - Fax:
Practice Address - Street 1:UNC HOSPITALS -- OFFICE OF GRADUATE MEDICAL EDUCATION
Practice Address - Street 2:101 MANNING DRIVE, CB#7600, CHAPEL HILL, NC, 27514
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514
Practice Address - Country:US
Practice Address - Phone:984-974-7831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261293390200000X
NC2023-02407208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program