Provider Demographics
NPI:1629119136
Name:MAHMOOD, ZEESHAN ALI (DO)
Entity Type:Individual
Prefix:
First Name:ZEESHAN
Middle Name:ALI
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 N UNIVERSITY DR STE 103
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8923
Mailing Address - Country:US
Mailing Address - Phone:954-516-0070
Mailing Address - Fax:954-516-0029
Practice Address - Street 1:1881 N UNIVERSITY DR STE 103
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-8923
Practice Address - Country:US
Practice Address - Phone:954-516-0070
Practice Address - Fax:954-516-0029
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9601207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine