Mahmood, Mohammad Asim

Mahmood, Mohammad Asim is an individual health care provider with primary practice located at 2 Medical Plaza Dr Suite 205, Roseville CA 95661-3043. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mahmood, Mohammad Asim can be contacted via phone (916) 773-8711.

Contact Information

Primary practice address
2 Medical Plaza Dr Suite 205 Roseville CA 95661-3043
Fax: (916) 773-8712
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 22009 Alabama
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35694 Arizona
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 35694 Arizona
Allopathic & Osteopathic Physicians / Neurology 2084N0400X C53312 California

Profile Details

NPI number 1396799508
LBN Legal business name Mahmood, Mohammad Asim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Sep 21st, 2012 - about 12 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 1396799508 NPPES
Mississippi MEDICAID 00124388
Mississippi MEDICAID 265595100
Mississippi MEDICAID 009960880
Mississippi MEDICAID 009960890
Mississippi Other 51507758
Mississippi Other 05-00145
Mississippi Other 51504215

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