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

Dr. Mustapha Ahmad Ezzeddine, MD

Individual provider Neurology Physician · NPI 1972534667

Dr. Mustapha Ahmad Ezzeddine, MD is a Neurology in Winston Salem, North Carolina. Qualified in 1993, 33 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Carolina.

Years since qualifying
33
Licensed in
MN, NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0356
Phone: (336) 716-2255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 516 Delaware St Se, Minneapolis, MN 55455-0356 — (612) 625-9900

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 2019-02683 (NC)
Neurology Physician Taxonomy 2084N0400X · Licence 49900 (MN)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 49900 (MN)

Record details

NPI number1972534667
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 11, 2019

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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