Mahmood, Ijaz

Mahmood, Ijaz is an individual health care provider with primary practice located at 1239 Woodland Dr Suite 105, Elizabethtown KY 42701-2770. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Mahmood, Ijaz can be contacted via phone (270) 900-1461.

Contact Information

Primary practice address
1239 Woodland Dr Suite 105 Elizabethtown KY 42701-2770
Phone: (270) 900-1461
Fax: (270) 900-1468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 31150 Kentucky

Profile Details

NPI number 1609858539
LBN Legal business name Mahmood, Ijaz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated May 22nd, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609858539 NPPES
Kentucky MEDICAID 64311509
Kentucky Other 1048927

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