Mostafa Ghulam Hazrat
NPI 1194659730ActiveIndividual· Assistant, Podiatric· Grand Blanc, MI
Assistant, Podiatric in Grand Blanc, Michigan, licensed in MI, with an NPI issued in June 2026. Enrolled in Medicare as order and referring only - podiatry.
Overview
| NPI | 1194659730 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 10, 2026 |
| Last updated in NPPES | Jun 10, 2026 |
| Certified by provider | Jun 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assistant, Podiatric Primary | 211D00000X | 5951001611 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Podiatry (MI) |
|---|
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