Individual
DR. KHALID MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 WEST WASHINGTON STREET, NANTICOKE, PA 18634-0514
(570) 735-7590
(570) 735-3363
Mailing address
185 FALLBROOK ST, CARBONDALE, PA 18407-0514
(570) 282-1732
(570) 282-6529
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD425009
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101122216
—
PA
Enumeration date
03/21/2006
Last updated
09/18/2012
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