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

Mohamed Mostafa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982011557

Mohamed Mostafa, MD is a Pathology in Phoenix, Arizona. Qualified in 2009, 17 years ago. Practices with Pathology Specialist of Arizona, LLP, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2014
Specialties on file
2
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

424 S 56th St Ste 110
Phoenix, AZ 85034-2177
Phone: (602) 685-5166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226 — (414) 805-8576

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 64660 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982011557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2014
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pathology Specialist Of Arizona, Llp — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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