Doctor Name: | HAMID MAHMOOD |
NPI Number: | 1104914985 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 23361 |
Business Practice Address: | 1100 N Mustang Rd Mustang, OK - 730647201 |
Business Phone Number: | 4053769544 |
Business Fax Number: | |
Mailing Address: | 1100 N Mustang Rd, MUSTANG |
State: | OK |
Postal Code: | 730647201 |
Phone Number: | 4053769544 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 23361 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |