Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 235309 | MA |
N | 111NI0900X | Internist | 235309 | MA |
N | 207RG0100X | Gastroenterologist | 235309 | MA |
Y | 207RG0100X | Gastroenterologist | 294860 | NY |
NPI | 1013186535 |
---|---|
Provider Name | Syed Kashif Mahmood |
First Address | Middletown, NY 10941-4057 |
Second Address | Middletown, NY 10941-7001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 09/10/2020 |