Provider Demographics
NPI:1225391881
Name:MAHMOOD, SANNA
Entity Type:Individual
Prefix:DR
First Name:SANNA
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HUGHSON
Mailing Address - State:CA
Mailing Address - Zip Code:95326-9310
Mailing Address - Country:US
Mailing Address - Phone:209-558-7250
Mailing Address - Fax:
Practice Address - Street 1:2412 3RD ST
Practice Address - Street 2:HUGHSON MEDICAL OFFICE
Practice Address - City:HUGHSON
Practice Address - State:CA
Practice Address - Zip Code:95326-9310
Practice Address - Country:US
Practice Address - Phone:209-558-7250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program