Provider Demographics
NPI:1245476308
Name:MAHMOOD, SOHAIL SHAHZAD
Entity type:Individual
Prefix:
First Name:SOHAIL
Middle Name:SHAHZAD
Last Name:MAHMOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8592 DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2632
Mailing Address - Country:US
Mailing Address - Phone:443-615-2140
Mailing Address - Fax:
Practice Address - Street 1:8592 DAVIS RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2632
Practice Address - Country:US
Practice Address - Phone:443-615-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-19
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist