Individual
DR. HATIM AHMED MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 S MAIN ST, SUITE 3400, DANVILLE, VA 24541-2927
(434) 791-4070
(434) 791-4072
Mailing address
PO BOX 16414, CHAPEL HILL, NC 27516-6414
(866) 497-8332
(919) 967-6647
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101234987
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289591
BC/BS (ANTHEM)
VA
05
—
890668G
—
NC
Enumeration date
05/16/2006
Last updated
07/24/2007
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