Individual
DR. MUSHTAQ MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
10325 DEWHURST RD, OHIO MEDICAL GROUP, ELYRIA, OH 44035-8403
(440) 414-9260
(216) 201-5581
Mailing address
10325 DEWHURST RD, ELYRIA, OH 44035-8403
(440) 414-9260
(216) 201-5581
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
57.016032
OH
208M00000X
Hospitalist Physician
57.016032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067078
—
OH
Enumeration date
01/04/2006
Last updated
05/05/2025
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