| Shahid Mahmood Md Family Practice Pa | |
|
1124 Opal Ct Hagerstown MD 21740-5940 | |
| (301) 733-4496 | |
| (301) 733-0963 |
| Full Name | Shahid Mahmood Md Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1124 Opal Ct, Hagerstown, Maryland |
| Authorized Official Name and Position | Shahid Mahmood (PRESIDENT) |
| Authorized Official Contact | 3017334496 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahid Mahmood Md Family Practice Pa 1124 Opal Ct Hagerstown MD 21740-5940 Ph: (301) 733-4496 | Shahid Mahmood Md Family Practice Pa 1124 Opal Ct Hagerstown MD 21740-5940 Ph: (301) 733-4496 |
| NPI Number | 1598862864 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 06/13/2013 |
| Medicare PECOS PAC ID | 6901901644 |
|---|---|
| Medicare Enrollment ID | O20070425000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598862864 | NPI | - | NPPES |
| 408999500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D0063233 (Maryland) | Primary |
| Provider Name | Susan E Mcvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093711970 PECOS PAC ID: 0446146187 Enrollment ID: I20040227000492 |
| Provider Name | Shahid Mahmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982701611 PECOS PAC ID: 5092811737 Enrollment ID: I20070426000279 |
| Provider Name | Jennifer Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083181499 PECOS PAC ID: 6608112537 Enrollment ID: I20190114000937 |
| Provider Name | Madhu Joyce Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053997734 PECOS PAC ID: 7416316369 Enrollment ID: I20230710003239 |
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