Basic Information
Provider Information
NPI: 1659505535
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MAHMOOD
FirstName: MUHAMMAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5400 FRANTZ RD
Address2: SUITE 250
City: DUBLIN
State: OH
PostalCode: 430164144
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6540 WINTON RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452241391
CountryCode: US
TelephoneNumber: 5138913636
FaxNumber: 5133390790
Other Information
ProviderEnumerationDate: 05/07/2009
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X35.126675OHY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101X25757WVN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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