Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOSTAFA GHULAM HAZRAT
NPI 1194659730
Assistant, Podiatric in Grand Blanc, MI

Q: What is Mostafa Ghulam Hazrat's NPI number?

The NPI number for Mostafa Ghulam Hazrat is 1194659730. It was assigned to this individual provider in the NPPES registry on June 10, 2026.

Q: What is Mostafa Ghulam Hazrat's specialty?

The primary specialty registered for this NPI is Assistant, Podiatric with taxonomy code 211D00000X.

Active since June 10, 2026PECOS Enrolled

1 GENESYS PKWY, GRAND BLANC, MI 48439(810) 606-5987 Get Directions Write a Review

NPPES record added: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mostafa Ghulam Hazrat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOSTAFA GHULAM HAZRAT (NPI 1194659730) is an individual assistant, podiatric provider in Grand Blanc, Michigan, licensed in Michigan (5951001611) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194659730

Entity TypeIndividualMale

Primary Taxonomy211D00000X

Provider Legal NameMOSTAFA GHULAM HAZRAT

Location Address1 GENESYS PKWYGrand Blanc, MI 48439-8065

Mailing Address1275 Heatherwood Dr Apt 7450-3bGrand Blanc, MI 48439-9293 · (602) 321-2693

Phone(810) 606-5987

Sole ProprietorYes

Enumeration DateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1194659730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant, PodiatricPodiatric Medicine & Surgery Service Providers

Taxonomy Code211D00000X

License✔ Licensed in MI · 5951001611

Definition

An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.

1 GENESYS PKWY, Grand Blanc, MI 48439

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mostafa Ghulam Hazrat is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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