Search › Illinois › 207RC0000X
Mostafa Ghanim, MD
NPI 1598118895 · on the registry since 2016
Practice
- Address
- 1703 Polaris Cir Ste 1
Ottawa, IL 61350 - Phone
- (815) 705-1000
- Organisation at this address
- Brittany M Jones Dpm Llc
Mark Benavides D.D.S., P.C.
Dr Nicholas M Tabor Iii DpmInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Additional practice sites
- 736 Cambridge St, Boston, MA
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207R00000X
- Licence states on file
- MA, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois