National Provider Identifier
Mariam Ahmed Osman Mostafa, MD
Mariam Ahmed Osman Mostafa, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1467183392
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 21, 2022
- Last Updated
- June 21, 2022
Practice Location
- 1425 Portland Ave Bldg 3
- Rochester, NY 14621-3095
Phone: (585) 922-4000
Mailing Address
- 1425 Portland Ave
- Rochester, NY 14621-3011
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1467183392
- Entity Type
- Individual
- Last Name
- Mostafa
- First Name
- Mariam Ahmed Osman
- Credential
- MD
- Provider Other Last Name
- Mostafa Egiza
- Provider Other First Name
- Mariam
- Provider Other Middle Name
- Ahmed Osman
- Provider Other Name Prefix Text
- Dr.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3011
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave Bldg 3
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3095
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- June 21, 2022
- Last Updated
- June 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)