Individual
USAMA MAHMOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18111 BROOKHURST ST # LL0300, FOUNTAIN VALLEY, CA 92708-6728
(714) 962-7100
(714) 963-7600
Mailing address
PO BOX 844945, LOS ANGELES, CA 90084-4945
(714) 962-7100
(714) 963-7600
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
P035
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301292401
—
TX
Enumeration date
06/11/2007
Last updated
12/06/2016
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