Mustafa Hares, M.D. P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

4301040359 Issued in MI

Legal business name

MUSTAFA HARES, M.D. P.C.

Practice address

22401 Foster Winter Dr
Southfield, MI 48075-3724

Phone

(248) 371-3199

Fax

(248) 371-1930

NPI assigned

Sep 21, 2016

Last updated

Sep 10, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mustafa Hares, M.D.NPI 1740393537

Title

Owner

Phone

(248) 371-3199

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Abdul-Karim Hares, MD

  • Surgery Physician
  • Auburn Hills, MI
  • NPI 1740393537
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1063961894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-371-3199",
            "fax_number": "248-371-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 FOSTER WINTER DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753724",
            "telephone_number": "248-371-3199",
            "fax_number": "248-371-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTAFA HARES, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "HARES",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-371-3199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301040359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805270-10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0H73244",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Murray, PH.D.
• Lauren Murrill, MD
• Vidya Murthy, P.T
• Dea Musaraj, MD
• Andrew Aaron Muskovitz, M.D.
• Sabina Mustic, FNP-C
• Cynthia Therese Muszynski, OTR
• Khadijah Mutakabbir
• Carrie Muxlow
• MVP Diagnostic Laboratory LLC

• Surgery Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.