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Individual

MAHMOUD QADOOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
450 ALKYRE RUN, SUITE 230, WESTERVILLE, OH 43082-6909
(614) 898-9340
(614) 898-9350
Mailing address
PO BOX 6045, HILLIARD, OH 43026-6045
(614) 451-8770
(614) 451-2291

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35087537
OH
207RP1001X
Pulmonary Disease Physician
Primary
35087537
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35087537
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2658744
OH
Enumeration date
04/21/2006
Last updated
11/19/2020
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