Provider Demographics
NPI:1174865646
Name:MAHMOOD, BRIAN KELLY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KELLY
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1201 E SCHUSTER AVE STE 5B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4676
Mailing Address - Country:US
Mailing Address - Phone:915-225-2455
Mailing Address - Fax:915-503-2114
Practice Address - Street 1:1935 MEDICAL DISTRICT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7701
Practice Address - Country:US
Practice Address - Phone:214-456-7000
Practice Address - Fax:214-456-5406
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ9425208000000X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics