Individual
DR. GULREZ TAHIR MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 1008, BATON ROUGE, LA 70808-4368
(225) 766-0416
Mailing address
7777 HENNESSY BLVD, BATON ROUGE, LA 70808-4300
(225) 766-0416
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
333103
LA
2086S0129X
Vascular Surgery Physician
Primary
W1311
TX
390200000X
Student in an Organized Health Care Education/Training Program
4351032354
MI
Other
Enumeration date
05/08/2014
Last updated
03/30/2026
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