Individual
MOBUSHER MAHMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 PLEASANTVILLE RD STE 101, LANCASTER, OH 43130-3325
(404) 750-5017
(740) 653-7512
Mailing address
5739 BOULDER RIDGE CT, FLOWERY BRANCH, GA 30542-5453
(215) 850-2698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BA8388212
GA
207RC0000X
Cardiovascular Disease Physician
066213
GA
207RI0011X
Interventional Cardiology Physician
Primary
BA8388212
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106797
—
OH
Enumeration date
09/14/2006
Last updated
10/30/2019
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