Individual
MOHAMMAD MAHBOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8524
(401) 444-5814
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8524
(401) 444-5814
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
LP02281
RI
208D00000X
General Practice Physician
D88974
MD
Other
Enumeration date
05/24/2011
Last updated
03/20/2020
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