Mahmoud, Fernando Ariel

Mahmoud, Fernando Ariel is an sole proprietor health care provider with primary practice located at 1120 Minnequa Ave , Pueblo CO 81004-3734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mahmoud, Fernando Ariel can be contacted via phone (719) 564-0660.

Contact Information

Primary practice address
1120 Minnequa Ave Pueblo CO 81004-3734
Fax: (719) 564-0037
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 49049 Colorado

Profile Details

NPI number 1245542471
LBN Legal business name Mahmoud, Fernando Ariel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2010
Last updated Nov 30th, 2011 - 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 1245542471 NPPES
Colorado MEDICAID 82301573

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