Individual
MOHAMMAD MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 N RUTLEDGE ST FL 5, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-2303
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01083976A
IN
208800000X
Urology Physician
Primary
036.145170
IL
Other
Enumeration date
03/27/2014
Last updated
09/15/2023
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