Organization
AYESHA MAHMOOD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA MAHMOOD M.D. (PRESIDENT)
(610) 446-3651
Entity
Organization
Contact information
Practice address
525 W CHESTER PIKE, SUITE 305, HAVERTOWN, PA 19083-4500
(610) 446-3651
(610) 446-3652
Mailing address
PO BOX 172, WYNNEWOOD, PA 19096-0172
(610) 446-3651
(610) 446-3652
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD423490
PA
Other
Enumeration date
03/22/2011
Last updated
04/11/2011
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