Individual provider · Type 1 NPI
Mustafa Ghanem, MD-PHD
Student in an Organized Health Care Education/Training Program · Dallas, TX
NPI number
1134878598
Active
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390-4909
Mailing address
5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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.
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About NPI 1134878598
Mustafa Ghanem, MD-PHD's National Provider Identifier is 1134878598, issued on Mar 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Dec 4, 2022.