DR. MUSTAFA D.M NAZZAL M.D. MLS FACS NPI 1952558926

NPI Information

NPI: 1952558926
Provider Name: DR. MUSTAFA D.M NAZZAL, M.D., MLS, FACS
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1225 S GRAND BLVD FL 3
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 257-3760
Get Directions

DR. Mustafa D.m Nazzal, M.D., MLS, FACS is a transplant surgery in Saint Louis, MO with 23 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Mustafa D.m Nazzal, M.D., MLS, FACS NPI is 1952558926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1225 S GRAND BLVD FL 3
SAINT LOUIS, MO
ZIP 63104-016
Phone: (314) 257-3760
Fax: (314) 257-3761

The NPI 1952558926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2008 and was last updated on 3/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204F00000X	Transplant Surgery		2014026523	MISSOURI	Yes
2	208600000X	Surgery		2014026523	MISSOURI	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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