Individual
DR. HAMID MAHMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 N BROADWAY, SALEM, IL 62881-4233
(618) 548-4613
(618) 548-4097
Mailing address
1610 N BROADWAY, SALEM, IL 62881-4233
(618) 548-4613
(618) 548-4097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-044942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044942
—
IL
Enumeration date
06/20/2006
Last updated
07/13/2010
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