Provider Demographics
NPI:1467865279
Name:MAHMOUD, OSAMA MOHAMED F M (MD)
Entity Type:Individual
Prefix:
First Name:OSAMA
Middle Name:MOHAMED F M
Last Name:MAHMOUD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8060 WOLF RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38138-1727
Mailing Address - Country:US
Mailing Address - Phone:901-271-1000
Mailing Address - Fax:901-271-4187
Practice Address - Street 1:6027 WALNUT GROVE RD STE 112
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2115
Practice Address - Country:US
Practice Address - Phone:901-271-1000
Practice Address - Fax:901-271-4187
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2022-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN62724207RI0011X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology