Individual
FAYYAZ MAHMOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 GULL RD, SUITE 100, KALAMAZOO, MI 49048-1639
(269) 381-7380
(269) 341-4562
Mailing address
1541 GULL RD, SUITE 100, KALAMAZOO, MI 49048-1639
(269) 381-7380
(269) 341-4562
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301081100
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4499872
—
MI
05
—
4733779
—
MI
Enumeration date
04/14/2006
Last updated
07/08/2007
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