Individual
MITCHELL AMUDA MAH'MOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 NORTH ST, SMITHFIELD, NC 27577-4016
(919) 341-3621
(919) 359-6290
Mailing address
PO BOX 18563, RALEIGH, NC 27619-8563
(919) 782-1806
(919) 782-4756
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9700651
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100014117
RAILROAD MEDICARE
NC
01
—
1098E
BCBSNC
NC
05
—
1699769257
—
NC
01
—
6105788
CIGNA HEALTHCARE
NC
05
—
891098E
—
NC
01
—
99185
MEDCOST
NC
Enumeration date
09/09/2005
Last updated
06/25/2024
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