Provider Demographics
NPI:1235123209
Name:MAHMOOD, KHALID (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALID
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4085 OHIO DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6244
Mailing Address - Country:US
Mailing Address - Phone:972-668-9713
Mailing Address - Fax:972-668-9744
Practice Address - Street 1:4085 OHIO DR
Practice Address - Street 2:SUITE 100
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6244
Practice Address - Country:US
Practice Address - Phone:972-668-9713
Practice Address - Fax:972-668-9744
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM1218207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178616201Medicaid
TX178616201Medicaid
TXF11695Medicare UPIN