Provider Demographics
NPI:1073835021
Name:MAHOOD, ARIF (MD)
Entity Type:Individual
Prefix:DR
First Name:ARIF
Middle Name:
Last Name:MAHOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARIF
Other - Middle Name:
Other - Last Name:MAHMOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:104 IRIS COURT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042
Mailing Address - Country:US
Mailing Address - Phone:931-431-6670
Mailing Address - Fax:931-221-3400
Practice Address - Street 1:104 IRIS COURT
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042
Practice Address - Country:US
Practice Address - Phone:931-431-6670
Practice Address - Fax:931-221-3400
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY110114-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology