1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Physician Assistant
  6. NPI Profile

GABRIELLA MIGUEL MUKHTAR
NPI 1639972243
Physician Assistant in Southfield, MI

Active since March 29, 2025
21311 CIVIC CENTER DR, SOUTHFIELD, MI 48076(248) 592-1335 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2025, Mar 29, 2025 (2 updates tracked since 2025).

About Gabriella Miguel Mukhtar NPPES

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

GABRIELLA MIGUEL MUKHTAR (NPI 1639972243) is an individual physician assistant in Southfield, Michigan and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639972243
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGABRIELLA MIGUEL MUKHTAR
Location Address21311 CIVIC CENTER DRSouthfield, MI 48076-3900
Mailing Address21311 Civic Center DrSouthfield, MI 48076-3900 · (248) 592-1335
Phone(248) 592-1335
Sole ProprietorNo
Enumeration DateMarch 29, 2025
Last NPPES UpdateJune 4, 20252 updates tracked since enumeration
NPPES CertifiedJune 4, 2025
✔ NPI 1639972243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21311 CIVIC CENTER DR, Southfield, MI 48076
Open in Google Maps ↗

Other Providers at the Same Location NPPES 6

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

ALEXA CHRIS JARBOA
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (248) 881-9800
MADISON ARMSTRONG
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (734) 205-8591
ANGELA KIRMA
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (248) 469-2213
ALYSSA BATTANI
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (586) 251-8791
ADRINA ZAITONA
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (248) 817-9235
VALERIE-THAO-NHU NGUYEN
Physician Assistant
21311 CIVIC CENTER DR
SOUTHFIELD, MI 48076
Oakland County (000) 000-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriella Mukhtar's NPI number?

The NPI number for Gabriella Mukhtar is 1639972243. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Gabriella Mukhtar located?

Gabriella Mukhtar practices at 21311 Civic Center Dr, Southfield, MI 48076. The listed phone number is (248) 592-1335.

What is Gabriella Mukhtar's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Gabriella Mukhtar was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.