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Contact Information

MOUSTAFA M AOUTHMANY, MD
9300 VALLEY CHILDRENS PL
MADERA, CA93636
 Phone: 559-353-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MOUSTAFA M AOUTHMANY · (Male)

NPI # 1164419834
Status Active
Credentials MD
Entity Individual
Enumeration date 09/29/2005
Last updated 03/01/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # C145911
  • IN License # 01074192A
  • OH License # 35065614
  • IN Medicaid 201258820
  • OH Medicaid 0225778
  • Other 000000965541 BCBS NICU
  • IN Other 000000965558 BCBS MFM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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