Individual
DR. DIANA M MAHBOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-42766
IA
207RN0300X
Nephrology Physician
MD-42766
IA
207RN0300X
Nephrology Physician
Primary
R5433
TX
208M00000X
Hospitalist Physician
MD-42766
IA
Other
Enumeration date
04/12/2012
Last updated
08/03/2023
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