Ezzeddine, Mustapha Ahmad
Ezzeddine, Mustapha Ahmad is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Ezzeddine, Mustapha Ahmad can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0356
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 49900 | Minnesota |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 49900 | Minnesota |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 2019-02683 | North Carolina |
Profile Details
| NPI number | 1972534667 |
|---|---|
| LBN Legal business name | Ezzeddine, Mustapha Ahmad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Nov 11th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972534667 | NPPES |
| New Jersey | MEDICAID | 0097284 |
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