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Individual

KAMRAN MAHMOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895
Mailing address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895

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
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