Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 62724 | TN |
N | 207RI0011X | Interventional Cardiology | 62724 | TN |
NPI | 1467865279 |
---|---|
Provider Name | Osama Mohamed F. M. Mahmoud |
First Address | Germantown, TN 38138-5714 |
Second Address | Danville, PA 17822-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2014 |
Last Update Date | 03/11/2021 |