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

Ehtesham Mustafa, PA-C

Individual provider Physician Assistant · NPI 1104484609

Ehtesham Mustafa, PA-C is a Physician Assistant in Glen Allen, Virginia. Qualified in 2019, 7 years ago. Practices with Virginia Physicians Inc, a 94-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4900 Cox Rd Ste 150
Glen Allen, VA 23060-6507
Phone: (804) 346-1780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104484609
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2019
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address4900 Cox Rd Ste 150, Glen Allen, VA 23060-6507

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Virginia Physicians Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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