Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A106661 | CA |
N | 111NI0900X | Internist | A106661 | CA |
Y | 207RR0500X | Rheumatology | A106661 | CA |
NPI | 1134385974 |
---|---|
Provider Name | Farah Mahmood |
First Address | Modesto, CA 95355-4201 |
Second Address | Modesto, CA 95355-4201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 04/09/2012 |