Individual
NOMAN MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 929-2300
Mailing address
SSM HEALTH FDL REGIONAL CLINIC PROVIDER ENROLLMENT, 1808 W BELTLINE HWY, FOND DU LAC, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207R00000X
IA
207R00000X
Internal Medicine Physician
63890-20
WI
208M00000X
Hospitalist Physician
Primary
63890-20
WI
Other
Enumeration date
03/30/2010
Last updated
01/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us