Mandviwala, Mustafa
Mandviwala, Mustafa is an individual health care provider with primary practice located at 13406 Medical Complex Dr Ste 110, Tomball TX 77375-3332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mandviwala, Mustafa can be contacted via phone (281) 351-6250.Contact Information
Primary practice address
13406 Medical Complex Dr Ste 110
Tomball TX 77375-3332
Phone: (281) 351-6250
Fax: (281) 351-7841
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | F8561 | Texas |
Profile Details
| NPI number | 1982606448 |
|---|---|
| LBN Legal business name | Mandviwala, Mustafa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Oct 3rd, 2012 - about 13 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 | 1982606448 | NPPES |
| Texas | MEDICAID | 122524501 |
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