Mahmood, Ahsan
Mahmood, Ahsan is an sole proprietor health care provider with primary practice located at 1720 Beacon St , Fort Wayne IN 46805-4749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mahmood, Ahsan can be contacted via phone (260) 373-8000.Contact Information
Primary practice address
1720 Beacon St
Fort Wayne IN 46805-4749
Phone: (260) 373-8000
Fax: (260) 373-8034
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 252808 | New York |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 01067441A | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01067441A | Indiana |
Profile Details
| NPI number | 1760458921 |
|---|---|
| LBN Legal business name | Mahmood, Ahsan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Oct 14th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760458921 | NPPES |
| New York | MEDICAID | 02649190 | |
| New York | MEDICAID | 201023350 | |
| New York | MEDICAID | 300012812 |
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