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Individual

MAHMOOD A KHALID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
035499
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E01133
BCBS OF MI GROUP
MI
05
2707671
MI
05
4626456
MI
01
CI8050
MEDICARE RR GROUP
MI
Enumeration date
07/17/2006
Last updated
03/15/2011
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