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Contact Information

IJAZ MAHMOOD, MD
1239 WOODLAND DR
SUITE 105
ELIZABETHTOWN, KY42701-2770
 Phone: 270-900-1461
 Fax: 270-900-1468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IJAZ MAHMOOD · (Male)

NPI Number 1609858539
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 05/22/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 31150
  • KY Medicaid 64311509
  • KY Other 1048927 PASSPORT
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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