Provider Demographics
NPI:1982394391
Name:ABDUL KAREEM, MUSTAFA MAHMOUD MUSTAFA (MD)
Entity Type:Individual
Prefix:MR
First Name:MUSTAFA
Middle Name:MAHMOUD MUSTAFA
Last Name:ABDUL KAREEM
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 1:2200 JEFFERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1701
Mailing Address - Country:US
Mailing Address - Phone:419-251-1400
Mailing Address - Fax:419-251-4159
Practice Address - Street 1:2200 JEFFERSON AVENUE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1701
Practice Address - Country:US
Practice Address - Phone:419-251-1400
Practice Address - Fax:419-251-4159
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program