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Contact Information

IJAZ MAHMOOD MD PLC
1239 WOODLAND DR
SUITE 105
ELIZABETHTOWN, KY42701-2770
 Phone: 270-300-4461
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Oncology

261QX0200X
Indicates primary specialty

NPI Profile & details for IJAZ MAHMOOD MD PLC · (Female)

NPI Number 1225336852
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2011
Last updated 11/25/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 31150
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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