Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ghulam Mujtaba, MD

Individual provider Psychiatry Physician · NPI 1881213593

Dr. Ghulam Mujtaba, MD is a Psychiatry in Lubbock, Texas. Graduated from Medical College of Wisconsin in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
6
Trained at
Medical College of Wisconsin
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3223 S Loop 289 Ste 600 (private Ofc 630)
Lubbock, TX 79423
Phone: (833) 351-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 206 N Randolph St., Champaign, IL 61820 — (833) 351-8255

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 125.077354 (IL)

Record details

NPI number1881213593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address109 W 27th St Rm 5s, New York, NY 10001-6208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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