Individual provider · Type 1 NPI

Melan Mustafa, MD

Student in an Organized Health Care Education/Training Program · St. Clair Shores, MI

NPI number 1952157331 Active

Practice location

24911 Little Mack Avenue, Suite C
St. Clair Shores, MI 48080

Call (586) 777-2050 Map

Fax (586) 777-2189

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1952157331

Melan Mustafa, MD's National Provider Identifier is 1952157331, issued on Apr 26, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Jul 22, 2024.