Organization Active NPI

Muhammad Mushtaq MD PC

  • Internal Medicine Physician
  • Danville, IL
National Provider Identifier
1174896443
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MUHAMMAD MUSHTAQ MD PC
Practice address
701 W Fairchild St
Suite B
Danville, IL 61832-3745
Phone
(217) 431-1100
Fax
(217) 431-2900
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Mrs. Iffat Mushtaq
Title
Office Manger
Phone
(217) 431-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

701 W Fairchild St
Suite B
Danville, IL 61832-3745

Mailing address

701 W Fairchild St
Suite B
Danville, IL 61832-3745
Phone (217) 431-1100

National Provider Directory

National Provider Directory

Locations

701 W Fairchild St
Ste B
Danville, IL 61832
Phone (217) 431-1100

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1174896443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FAIRCHILD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323745",
            "telephone_number": "217-431-1100",
            "fax_number": "217-431-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FAIRCHILD ST",
            "address_2": "SUITE B",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323745",
            "telephone_number": "217-431-1100",
            "fax_number": "217-431-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD MUSHTAQ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "MUSHTAQ",
        "authorized_official_first_name": "IFFAT",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "217-431-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.