Individual
MOHAMMAD ASIM MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PLAZA DR, SUITE 205, ROSEVILLE, CA 95661-3043
(916) 773-8711
(916) 773-8712
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
22009
AL
2084N0400X
Neurology Physician
35694
AZ
2084N0400X
Neurology Physician
Primary
C53312
CA
2084V0102X
Vascular Neurology Physician
35694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124388
—
MS
05
—
009960880
—
AL
05
—
009960890
—
AL
01
—
05-00145
UNITED HEALTH CARE
AL
05
—
265595100
—
FL
01
—
51504215
BLUE CROSS
AL
01
—
51507758
BLUE CROSS
AL
Enumeration date
05/20/2006
Last updated
09/21/2012
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