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Organization
IJAZ MAHMOOD MD PLC
Active
Organization
IJAZ MAHMOOD MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IJAZ MAHMOOD (OWNER)
(270) 300-4461
Entity
Organization
Contact information
Practice address
1239 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2770
(270) 300-4461
Mailing address
222 E WITHERSPOON ST, SUITE 2000, LOUISVILLE, KY 40202-6301
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
261QX0200X
Oncology Clinic/Center
31150
KY
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/07/2011
Last updated
11/25/2014
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