Individual
MAHVISH F MASOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4753 N ELSTON AVE, CHICAGO, IL 60630-4490
(773) 205-7200
(773) 481-7577
Mailing address
562 CONCORD ROAD SE, SMYRNA, GA 30082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97051
GA
208M00000X
Hospitalist Physician
97051
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
05/31/2024
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