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1417397589
KAMRAN MUSHTAQ
LAGRANGE, IN
NPI
1417397589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301103687)
Enumeration Date
2013-07-03
Last Update Date
2022-06-21
Business Address
KAMRAN MUSHTAQ MD
2500 N DETROIT ST
LAGRANGE, IN 46761
Phone number: 260-463-2133
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Mailing Address
KAMRAN MUSHTAQ MD
PO BOX 236
LAGRANGE, IN 46761-0236
Phone number: 260-463-2133
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