Provider Demographics
NPI:1780681197
Name:DARR, MAHMOOD R (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHMOOD
Middle Name:R
Last Name:DARR
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 1:6175 LEVIS COMMONS BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-7269
Mailing Address - Country:US
Mailing Address - Phone:567-585-0380
Mailing Address - Fax:567-585-0381
Practice Address - Street 1:6175 LEVIS COMMONS BLVD STE 104
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-7269
Practice Address - Country:US
Practice Address - Phone:567-585-0380
Practice Address - Fax:567-585-0381
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070686207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine