Individual
MAMOON MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
740 S NEW ST, DOVER, DE 19904-3571
(302) 674-0222
(302) 674-0200
Mailing address
740 S NEW ST, DOVER, DE 19904-3571
(302) 674-0222
(302) 674-0200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0006010
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010578601
—
DE
Enumeration date
10/16/2006
Last updated
05/04/2017
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