Mushtaq, Mian

Mushtaq, Mian is an individual health care provider with primary practice located at 301 Gordon Gutmann Blvd Ste 301, Jeffersonville IN 47130-3764. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mushtaq, Mian can be contacted via phone (812) 288-9969.

Contact Information

Primary practice address
301 Gordon Gutmann Blvd Ste 301 Jeffersonville IN 47130-3764
Phone: (812) 288-9969
Fax: (812) 288-9657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01047786A Indiana

Profile Details

NPI number 1043266174
LBN Legal business name Mushtaq, Mian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jan 20th, 2021 - about 4 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 1043266174 NPPES
Indiana MEDICAID 200437800
Indiana MEDICAID 64053093

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