Individual
DR. UMAR MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, FND 2 RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-5788
(617) 726-5708
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-6477
(617) 726-6165
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
208181
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134091
—
MA
01
—
208181
TUFTS HEALTH PLAN
MA
01
—
J23230
BCBS MA
MA
Enumeration date
11/22/2005
Last updated
08/21/2012
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