Individual
KAMRAN MAHMOOD
Active
Individual
KAMRAN MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036107735
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636491
BLUE SHIELD-PRIVATE PRCTC
IL
01
—
036107735
IL LICENSE
IL
01
—
036107735-3
MEDICAID-PRIVATE PRCTC
IL
01
—
214137
MEDICARE-PRIVATE PRCTC
IL
01
—
336068702
CSC
IL
Enumeration date
01/05/2006
Last updated
03/07/2023
Update your record
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