Mahmud, Gibran Hamid

Mahmud, Gibran Hamid is an individual health care provider with primary practice located at 1052 M L King Dr Suite 2, Centralia IL 62801-3002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Mahmud, Gibran Hamid can be contacted via phone (618) 436-5410.

Contact Information

Primary practice address
1052 M L King Dr Suite 2 Centralia IL 62801-3002
Phone: (618) 436-5410
Fax: (618) 436-8063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2011020105 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2011020105 Missouri

Profile Details

NPI number 1518132489
LBN Legal business name Mahmud, Gibran Hamid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Dec 5th, 2016 - about 9 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 1518132489 NPPES
Missouri MEDICAID 1518132489
Missouri MEDICAID 1518132489

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