Individual provider · NPI-1

Dr. Mushtaq Mahmood, MD.

Internal Medicine, Adolescent Medicine · Elyria, OH

NPI number1497733075
StatusActive
Last updated in NPPESMay 5, 2025

Details

NPI
1497733075
Entity type
Individual (NPI-1)
Name
Dr. Mushtaq Mahmood
Credential
MD.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2006
Certification date
May 5, 2025
Last updated
May 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RA0000X Internal Medicine, Adolescent Medicine57.016032OHYes
208M00000X Hospitalist57.016032OH

Other names

  • Mushtaq Mahmood (Professional Name)

Practice location

10325 Dewhurst Rd
Ohio Medical Group
Elyria, OH 44035-8403

Phone 440-414-9260 · Fax 216-201-5581

Mailing address

10325 Dewhurst Rd
Elyria, OH 44035-8403

Phone 440-414-9260 · Fax 216-201-5581

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