Individual
HUSSAM MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
36 S RIVER RD, HALIFAX, PA 17032-8614
(717) 827-3428
(717) 827-3437
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS024024
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1039193020002
—
PA
01
—
6U8151
MEDICARE
PA
Enumeration date
06/29/2021
Last updated
12/11/2024
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