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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

NPI Number 1225336852
LBN Legal business name IJAZ MAHMOOD MD PLC
Authorized official IJAZ MAHMOOD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2011
Last updated 11/25/2014 - About 12 years ago
Identifiers
KY License # 31150
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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