HOSSAM ELDIN IMAM MUSTAFA (NPI# 1215145420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215145420 |
| Entity Type | Individual |
| Full Name | HOSSAM ELDIN IMAM MUSTAFA |
| Credential | MD |
| Practice Address |
900 Cooper Ave Ste 4100 Saginaw MI 48602 |
| Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9895834700 |
| Practice Fax Number | 9895837173 |
| Mailing Telephone | 9895834700 |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
4301086127 | MI | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35.089607 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2760043 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2409 Cherry St Ste 100, Toledo, OH 436082670 | 4192513700 | |
| 30 E Apple St, Ste 6250, Dayton, OH 454092939 | 9372088394 | 9372088388 |
| Street Address |
900 COOPER AVE STE 4100 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114574472 | Heather Ellen Anjum | Nurse Practitioner | 900 Cooper Ave Ste 4100, Saginaw, MI 48602-5182 | 2019-08-21 |
| 1942789805 | Jillian R Grzegorczyk | Registered Nurse | 900 Cooper Ave Ste 4100, Saginaw, MI 48602-5182 | 2018-08-11 |
| 1427346121 | Anwar Zaitoun | Internal Medicine | 900 Cooper Ave Ste 4100, Saginaw, MI 48602-5182 | 2011-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
| Find all providers in zip 48602 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326028499 | Liaqat Zaman | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2006-01-17 |
| 1437139599 | Asim Yunus | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2006-01-17 |
| 1023098191 | Michigan Cardiovascular Institute, PC | Internal Medicine | 1015 S Washington Ave, Saginaw, MI 48601-2556 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788367 | Tsz Kin Tam | Internal Medicine | 1500 E Medical Center Dr Spc 5869, Ann Arbor, MI 48109-5869 | 2020-07-29 |
| 1861804023 | Ashish Gangasani Md Pllc | Internal Medicine | 6881 Brook Hollow Ct, West Bloomfield, MI 48322-5208 | 2014-05-22 |
| 1245675792 | West Michigan Heart | Internal Medicine | 705 Oak St Unit 1, Big Rapids, MI 49307-3109 | 2013-05-09 |
| 1093941395 | Firas Zahwe | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2009-06-02 |
| 1063588382 | Arrhythmia Center of Southwest Michigan | Internal Medicine | 7901 12th Street, Suite 201, Portage, MI 49024 | 2006-11-28 |
| 1609838804 | Francis A Grubelich | Internal Medicine | 7901 12th St, Ste 201, Portage, MI 49024 | 2006-04-04 |
| 1639725252 | Yuet Wong Cheng | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-08-11 |
| 1629537147 | Michigan Heart Rhythm Center Pllc | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2019-03-14 |
| 1679030530 | Heart and Vascular Institute | Internal Medicine | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2019-02-27 |
| 1104376581 | East Michigan Cardiology | Internal Medicine | 1031 Suncrest Dr, Lapeer, MI 48446-1136 | 2016-10-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.