Tariq Mahmood, Md. Llc. | |
215 Washington Heights Med Ctr Westminster MD 21157-5632 | |
(410) 848-5450 | |
(410) 848-5451 |
Full Name | Tariq Mahmood, Md. Llc. |
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Speciality | Internal Medicine |
Location | 215 Washington Heights Med Ctr, Westminster, Maryland |
Authorized Official Name and Position | Tariq Mahmood (OWNER) |
Authorized Official Contact | 4108485450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tariq Mahmood, Md. Llc. 215 Washington Heights Medical Center Westminster MD 21157-4458 Ph: (410) 848-5450 | Tariq Mahmood, Md. Llc. 215 Washington Heights Med Ctr Westminster MD 21157-5632 Ph: (410) 848-5450 |
NPI Number | 1922178219 |
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Provider Enumeration Date | 11/08/2006 |
Last Update Date | 10/01/2018 |
Medicare PECOS PAC ID | 0042317042 |
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Medicare Enrollment ID | O20070529000173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922178219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0043725 (Maryland) | Primary |
Provider Name | Tariq Mahmood |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770501454 PECOS PAC ID: 0547211997 Enrollment ID: I20070221000269 |
Provider Name | Jovita Agbor Nwaugwu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619743713 PECOS PAC ID: 6709236177 Enrollment ID: I20240308003393 |
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