Individual
ALI MAHMOOD
Active
Individual
ALI MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301082545
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
N3155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350783201
—
TX
05
—
350783202
—
TX
05
—
350783204
—
TX
01
—
8FG745
BLUE CROSS BLUE SHIELD
TX
01
—
8GD965
BCBS
TX
Enumeration date
02/20/2008
Last updated
01/10/2017
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