Provider Demographics
NPI:1295991834
Name:MAHMOUD, HOSSAM M (MD)
Entity type:Individual
Prefix:DR
First Name:HOSSAM
Middle Name:M
Last Name:MAHMOUD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:585 LEBANON ST
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3225
Mailing Address - Country:US
Mailing Address - Phone:781-979-3310
Mailing Address - Fax:781-979-3496
Practice Address - Street 1:585 LEBANON ST
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3225
Practice Address - Country:US
Practice Address - Phone:781-979-3310
Practice Address - Fax:781-979-3496
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2015-10-07
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Provider Licenses
StateLicense IDTaxonomies
MA2649592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry