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

Dr. Mohammad Asim Mustafa, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1639265259

Dr. Mohammad Asim Mustafa, MD is a Pediatric Adolescent Medicine Physician in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

461 N Mulford Rd Ste 12
Rockford, IL 61107-5165
Phone: (815) 398-1009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X (IL)

Record details

NPI number1639265259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address461 N. Mulford Road, Suite 12, Rockford, IL 61107-5165

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