# SYED KHURRAM MAHBOOB

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770760944
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101241509 | VA | Yes |
| 207Q00000X | Family Medicine Physician | V2156 | TX | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | D70693 | MD | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | V2156 | TX | — |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 01/27/2025