Individual
MOHAMAD MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KINGS HWY S, STE 1100, ROCHESTER, NY 14617-5504
(585) 922-8585
(585) 922-1399
Mailing address
222 ALEXANDER ST, STE 1100, ROCHESTER, NY 14607-4039
(585) 922-8585
(585) 922-8555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036117782
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
269464
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036117782
IL LICENSE
IL
05
—
1639203847
—
MI
Enumeration date
03/16/2007
Last updated
11/18/2019
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