Provider Demographics
NPI:1922178219
Name:TARIQ MAHMOOD, MD. LLC.
Entity Type:Organization
Organization Name:TARIQ MAHMOOD, MD. LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARIQ
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHMOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-848-5450
Mailing Address - Street 1:215 WASHINGTON HEIGHTS MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-4458
Mailing Address - Country:US
Mailing Address - Phone:410-848-5450
Mailing Address - Fax:410-848-5451
Practice Address - Street 1:215 WASHINGTON HEIGHTS MED CTR
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5632
Practice Address - Country:US
Practice Address - Phone:410-848-5450
Practice Address - Fax:410-848-5451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty