Basic Information
| Provider Information | |||||||||
| NPI: | 1922359736 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MUFTI | ||||||||
| FirstName: | OWAIS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5575 DTC PKWY STE 225 | ||||||||
| Address2: | |||||||||
| City: | GREENWOOD VILLAGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801113073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033901926 | ||||||||
| FaxNumber: | 8663686349 | ||||||||
| Practice Location | |||||||||
| Address1: | 4455 EDISON LAKES PKWY # 100 | ||||||||
| Address2: | |||||||||
| City: | MISHAWAKA | ||||||||
| State: | IN | ||||||||
| PostalCode: | 465451414 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5742316800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/20/2012 | ||||||||
| LastUpdateDate: | 07/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 01086161A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 01086161A | IN | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.