Provider Demographics
NPI:1487705034
Name:MUSSAJI, MURTAZA (DO)
Entity type:Individual
Prefix:
First Name:MURTAZA
Middle Name:
Last Name:MUSSAJI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:4910 TELEPHONE RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-3504
Mailing Address - Country:US
Mailing Address - Phone:713-641-3900
Mailing Address - Fax:713-641-3901
Practice Address - Street 1:4910 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-3504
Practice Address - Country:US
Practice Address - Phone:713-641-3900
Practice Address - Fax:713-641-3901
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2016-05-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM3335207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
613248Medicare PIN