Khawaja R Mahmood, MD is a
Pediatrics - Adolescent Medicine physician based in Jasper, Georgia. Khawaja R Mahmood is licensed to practice in Georgia (license number 042648) and his current practice location is 12 Sammy Mcghee Blvd, Ste 102, Jasper, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 253-9898.
NPI number for Khawaja R Mahmood is 1861486557 and his current mailing address is 12 Sammy Mcghee Blvd, Ste 102, Jasper, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861486557.
Physician's Profile
| Full Name | Khawaja R Mahmood |
|---|
| Gender | Male |
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| Speciality | Pediatrics - Adolescent Medicine |
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| Location | 12 Sammy Mcghee Blvd, Jasper, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861486557
- Provider Enumeration Date: 09/08/2005
- Last Update Date: 02/14/2012
Medical Identifiers
Medical identifiers for Khawaja R Mahmood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861486557 | NPI | - | NPPES |
| 000721718U | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 042648 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khawaja R Mahmood is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Khawaja R Mahmood, MD
12 Sammy Mcghee Blvd, Ste 102,
Jasper, GA 30143-4093
Ph: (706) 253-9898 | Khawaja R Mahmood, MD
12 Sammy Mcghee Blvd, Ste 102,
Jasper, GA 30143-4093
Ph: (706) 253-9898 |
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