Individual
DR. SHAWN MAHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
2414 S 7TH ST, AO-10 ACADEMIC OFFICE BUILDING, MINNEAPOLIS, MN 55454-1435
(612) 626-4598
(612) 626-6905
Mailing address
2450 RIVERSIDE AVE, M663 RIVERSIDE EAST BLDG, CDC 8952F, MINNEAPOLIS, MN 55454-1450
(612) 624-8903
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
66389
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770937518
—
MN
Enumeration date
04/18/2016
Last updated
07/13/2022
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