Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 000000000000 | NJ |
N | 111NI0900X | Internist | 000000000000 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | 000000000000 | NY |
N | 207RH0000X | Hematologist | 000000000000 | NJ |
Y | 207RI0011X | Interventional Cardiology | 000000000000 | NY |
N | 207RX0202X | Medical Oncology | 000000000000 | NJ |
NPI | 1194387050 |
---|---|
Provider Name | Dr. Hossen Mahmud |
First Address | Highland Park, NJ 08904-6027 |
Second Address | Trenton, NJ 08619-1946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2019 |
Last Update Date | 13/07/2021 |