Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 4301100066 | MI |
Y | 111NI0900X | Internist | 4301100066 | MI |
NPI | 1003170739 |
---|---|
Provider Name | Dr. Aiman M Mahmood |
First Address | Troy, MI 48098-5801 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 03/09/2015 |