Individual
JAUDAT MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 W MAIN ST, KENT, OH 44240-2400
(800) 941-6672
Mailing address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
35.136152
OH
208VP0000X
Pain Medicine Physician
35.136152
OH
208VP0014X
Interventional Pain Medicine Physician
35.136152
OH
208VP0014X
Interventional Pain Medicine Physician
Primary
T1144
TX
Other
Enumeration date
04/14/2014
Last updated
05/12/2021
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