Individual ProviderMuhareb MustafaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address743 Spring St NE Ste 710, Gainesville, GA 30501-3715(770) 219-8730(734) 398-7880PECOS EnrollmentBased on the most recent information from CMS, provider Muhareb Mustafa is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1114554458Provider TypeIndividualFull NameMustafa, MuharebCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/26/2020Last Updated2/5/2025Contact InformationPractice LocationPractice Address743 Spring St NE Ste 710, Gainesville, GA 30501-3715Phone(770) 219-8730FaxUnlisted FaxMailing LocationMailing Address1600 S Canton Center Rd Ste 200, Canton, MI 48188-6276Phone(734) 398-7880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense4301509740Michigan