Mahmood, Mushtaq

Mahmood, Mushtaq is an individual health care provider with primary practice located at 10325 Dewhurst Rd Ohio Medical Group, Elyria OH 44035-8403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Mahmood, Mushtaq can be contacted via phone (440) 414-9260.

Contact Information

Primary practice address
10325 Dewhurst Rd Ohio Medical Group Elyria OH 44035-8403
Fax: (216) 201-5581
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 57.016032 Ohio

Profile Details

NPI number 1497733075
LBN Legal business name Mahmood, Mushtaq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 7th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497733075 NPPES
Ohio MEDICAID 0067078

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