Individual
DR. SHAKEER MAHMOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 S CHESTNUT ST, GASTONIA, NC 28054-7177
(704) 866-0101
(704) 866-0103
Mailing address
PO BOX 5548, CONCORD, NC 28027-1509
(704) 866-0101
(704) 866-0103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-00093
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202T
BLUE CROSS BLUE SHIELD #
NC
05
—
891202T
—
NC
Enumeration date
01/04/2006
Last updated
07/08/2007
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