Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | J0781 | TX |
N | 2080P0201X | Pediatric Allergist | J0781 | TX |
NPI | 1598942203 |
---|---|
Provider Name | Dr. Akram A Mushtaha |
First Address | Pasadena, TX 77505-3047 |
Second Address | Pasadena, TX 77505-3047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2008 |
Last Update Date | 04/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00R22B | (02) | TX |
035574501 | (05) | TX |