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

Samantha Moustafa

Individual provider Physician Assistant · NPI 1891367421

Samantha Moustafa is a Physician Assistant in Dearborn Heights, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021

Practice location Address checks out

22350 Ford Rd
Dearborn Heights, MI 48127-2421
Phone: (313) 406-2410
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013550 (MI)

Record details

NPI number1891367421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2021
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address22350 Ford Rd, Dearborn Heights, MI 48127-2421

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