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

Gabriella Miguel Mukhtar

Individual provider Physician Assistant · NPI 1639972243

Gabriella Miguel Mukhtar is a Physician Assistant in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

21311 Civic Center Dr
Southfield, MI 48076-3900
Phone: (248) 592-1335
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639972243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 29, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025

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