Individual
DR. OMAR AHMAD MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
11012091A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
2008010708
MO
2085R0202X
Diagnostic Radiology Physician
MD.202109
LA
2085R0202X
Diagnostic Radiology Physician
ME105073
FL
Other
Enumeration date
03/18/2008
Last updated
03/31/2026
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