Individual
HATIM A MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 S 3RD ST STE 300, BELLEVILLE, IL 62220-1952
(618) 213-7933
(618) 213-7934
Mailing address
180 S 3RD ST STE 300, BELLEVILLE, IL 62220-1952
(618) 213-7933
(618) 213-7934
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036096289
IL
207RI0011X
Interventional Cardiology Physician
036096289
IL
207UN0901X
Nuclear Cardiology Physician
036096289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174556583
—
IL
Enumeration date
07/09/2006
Last updated
01/12/2024
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