Individual
DR. QASIM MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3198
(570) 321-2810
(570) 321-2811
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD434379
PA
208M00000X
Hospitalist Physician
MD434379
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003173
FIRST PRIORITY HEALTH - PCP
PA
05
—
1021671410001
—
PA
01
—
2042685
HIGHMARK BLUE SHIELD
PA
01
—
823442
FIRST PRIORITY HEALTH - SPECIALIST/HOSPITALIST
PA
01
—
9677144
AETNA
PA
Enumeration date
04/10/2007
Last updated
01/12/2012
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