Mahmoud, Guisou

Mahmoud, Guisou is an individual health care provider with primary practice located at 2100 Powell St Suite 900, Emeryville CA 94608-1826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mahmoud, Guisou can be contacted via phone (510) 350-2600.

Contact Information

Primary practice address
2100 Powell St Suite 900 Emeryville CA 94608-1826
Phone: (510) 350-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A79774 California

Profile Details

NPI number 1164435996
LBN Legal business name Mahmoud, Guisou
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jan 29th, 2008 - about 16 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 1164435996 NPPES
California MEDICAID 00A797740

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