Provider Demographics
NPI:1215681747
Name:ART OF SUCCESS
Entity type:Organization
Organization Name:ART OF SUCCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:NABIL
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-963-0344
Mailing Address - Street 1:521 MCGUIRE CT
Mailing Address - Street 2:
Mailing Address - City:TRAVIS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:94535-1352
Mailing Address - Country:US
Mailing Address - Phone:347-963-0344
Mailing Address - Fax:
Practice Address - Street 1:521 MCGUIRE CT
Practice Address - Street 2:
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1352
Practice Address - Country:US
Practice Address - Phone:347-963-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric