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

Mohammad Mustaquim

Individual provider Surgical Physician Assistant · NPI 1659682292

Mohammad Mustaquim is a Physician Assistant in West Bloomfield, Michigan. Qualified in 2002, 24 years ago. Practices with Henry Ford Health System, a 2,540-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2010

Practice location Address checks out

6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone: (248) 661-6417
Fax: (248) 661-7390
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601003917 (MI)

Record details

NPI number1659682292
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2010
Last updated in NPPESJune 29, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Bloomfield