Mahmoud, Shaban

Mahmoud, Shaban is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Mahmoud, Shaban can be contacted via phone (740) 393-9000.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050-1440
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 74977 Ohio

Profile Details

NPI number 1194719286
LBN Legal business name Mahmoud, Shaban
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 25th, 2009 - about 15 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 1194719286 NPPES
Ohio MEDICAID 2083632
Ohio Other 000000207469

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