HISHAM AHMED MUSHTAQ MD NPI 1386393866

NPI Information

Hisham Ahmed Mushtaq, MD is a student in an organized health care education training program in Bridgeport, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Hisham Ahmed Mushtaq, MD NPI is 1386393866. 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:

2800 MAIN STREET, DEPARTMENT OF MEDICINE
BRIDGEPORT, CT
ZIP 06606
Phone: (475) 210-5425

The enumeration date for this NPI number is 3/22/2022 and was last updated on 3/22/2022.

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:

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