HomeNPI Verification

NPI Verification

National Provider Identifier: 1205368909

Mustafa Ajam, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Internal Medicine, Cardiovascular Disease

Code: 207RC0000X

Primary

Internal Medicine, Critical Care Medicine

Code: 207RC0200X

Practice Address

3181 SW SAM JACKSON PARK RD

PORTLAND, OR 972393011

Phone: 503-494-8311

NPI Enumeration Date

March 31, 2017

NPI Number

1205368909

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry