Bushra R Mahmud, DC | |
4903 Starkey Rd Ste 100, Roanoke, VA 24018-8525 | |
(540) 774-4443 | |
Not Available |
Full Name | Bushra R Mahmud |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 4903 Starkey Rd Ste 100, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689339046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104557755 (Virginia) | Primary |
Provider Name | Ray Tuck D.c.,p.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003987769 PECOS PAC ID: 0547222739 Enrollment ID: O20041030000039 |
Mailing Address | Practice Location Address |
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Bushra R Mahmud, DC 4903 Starkey Rd Ste 100, Roanoke, VA 24018-8525 Ph: () - | Bushra R Mahmud, DC 4903 Starkey Rd Ste 100, Roanoke, VA 24018-8525 Ph: (540) 774-4443 |
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