Mahmood, Khawaja R

Mahmood, Khawaja R is an individual health care provider with primary practice located at 12 Sammy Mcghee Blvd Ste 102, Jasper GA 30143-4093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mahmood, Khawaja R can be contacted via phone (706) 253-9898.

Contact Information

Primary practice address
12 Sammy Mcghee Blvd Ste 102 Jasper GA 30143-4093
Phone: (706) 253-9898
Fax: (706) 253-9896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 042648 Georgia

Profile Details

NPI number 1861486557
LBN Legal business name Mahmood, Khawaja R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Feb 14th, 2012 - about 13 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 1861486557 NPPES
Georgia MEDICAID 000721718U

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