Individual
RANA HAMID MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 E LAKE SHORE DR STE 310, DECATUR, IL 62521-3806
(217) 872-5943
(217) 872-7665
Mailing address
1750 E LAKE SHORE DR STE 310, DECATUR, IL 62521-3806
(217) 872-5943
(217) 872-7665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036098559
IL
174400000X
Specialist
—
IL
2084N0400X
Neurology Physician
Primary
036098559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098559
—
IL
Enumeration date
01/19/2007
Last updated
11/14/2023
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