Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD61030583 | WA |
NPI | 1043607930 |
---|---|
Provider Name | Reshad Mahmud |
First Address | Renton, WA 98057-4970 |
Second Address | Covington, WA 98042-4931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2015 |
Last Update Date | 05/08/2020 |