Mustafa Al-Musawi

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Pine Bluff, AR

NPI 1093658569 · NPPES record last updated Apr 10, 2026

Key facts

NPI
1093658569
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069
Phone
(870) 541-6010
Fax
(870) 541-6009
NPI assigned
Apr 10, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069

Mailing address

1601 W 40TH Ave Ste 100
Pine Bluff, AR 71603-6069
Phone (870) 541-6010

Other providers in Pine Bluff, AR

All providers in Pine Bluff, AR · Student in an Organized Health Care Education/Training Program in Arkansas

Sources for this page

Verify at the official NPI Registry.