Mujtaba, Ghulam

Mujtaba, Ghulam is an sole proprietor health care provider with primary practice located at 60 Messimer Dr , Newark OH 43055-3692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mujtaba, Ghulam can be contacted via phone (740) 326-6552.

Contact Information

Primary practice address
60 Messimer Dr Newark OH 43055-3692
Phone: (740) 326-6552
Fax: (740) 326-6897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036144414 Illinois
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.097038 Ohio

Profile Details

NPI number 1821277187
LBN Legal business name Mujtaba, Ghulam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2007
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821277187 NPPES
Ohio MEDICAID 0051080

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