Provider Demographics
NPI:1710925748
Name:DOSKI, MAHMOUD H (MD)
Entity Type:Individual
Prefix:
First Name:MAHMOUD
Middle Name:H
Last Name:DOSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13900 BALTIMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5009
Mailing Address - Country:US
Mailing Address - Phone:301-725-5652
Mailing Address - Fax:301-483-3732
Practice Address - Street 1:13900 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:301-725-5652
Practice Address - Fax:301-483-3732
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0060036207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403313200Medicaid
MDH96824Medicare UPIN
MD014924R52Medicare ID - Type Unspecified