Provider Demographics
NPI:1043057466
Name:DARWISH, MOHAMED MUSTAFA (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:MUSTAFA
Last Name:DARWISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1105 RAPPS DAM RD APT 42
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1941
Mailing Address - Country:US
Mailing Address - Phone:484-921-7311
Mailing Address - Fax:
Practice Address - Street 1:140 NUTT RD
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3900
Practice Address - Country:US
Practice Address - Phone:484-921-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT230695207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine