Individual
DR. AYSAM H MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01088077A
IN
207R00000X
Internal Medicine Physician
ME154760
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2019
Last updated
03/24/2025
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