Provider Demographics
NPI:1891721106
Name:GAFFAR, MUBINA (MD)
Entity Type:Individual
Prefix:DR
First Name:MUBINA
Middle Name:
Last Name:GAFFAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SUPERIOR AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2778
Mailing Address - Country:US
Mailing Address - Phone:949-287-6182
Mailing Address - Fax:949-287-8058
Practice Address - Street 1:320 SUPERIOR AVE STE 270
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-2778
Practice Address - Country:US
Practice Address - Phone:949-287-6182
Practice Address - Fax:949-287-8058
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20713207RP1001X
CAC53662207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB260724OtherPTAN
CAFG424ZMedicare PIN