Provider Demographics
NPI:1922359736
Name:MUFTI, OWAIS (MD)
Entity Type:Individual
Prefix:
First Name:OWAIS
Middle Name:
Last Name:MUFTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 DTC PKWY STE 225
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3073
Mailing Address - Country:US
Mailing Address - Phone:303-390-1926
Mailing Address - Fax:866-368-6349
Practice Address - Street 1:4455 EDISON LAKES PKWY # 100
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-1414
Practice Address - Country:US
Practice Address - Phone:574-231-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301511119207R00000X
IN01086161A207R00000X, 208M00000X
KS04-47453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine