Dr. Fayyaz Mahmood, MD
Internal Medicine in Gresham, OR. Individual provider (NPI-1).
NPI number1790777050
StatusActive
Last updated in NPPESNov 17, 2014
Details
- NPI
- 1790777050
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fayyaz Mahmood
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2005
- Last updated
- Nov 17, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD16510 | OR | Yes |
Practice location
24988 Se Stark StSte 300
Gresham, OR 97030-8322
Phone 503-674-5818 · Fax 503-674-6709
Mailing address
24988 Se Stark StSte 300
Gresham, OR 97030-8322
Phone 503-674-5818 · Fax 503-674-6709
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