Provider Demographics
NPI:1669227633
Name:MEHMOOD NAWAB INC
Entity type:Organization
Organization Name:MEHMOOD NAWAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MEHMOOD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-743-3006
Mailing Address - Street 1:14605 ISLEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-6203
Mailing Address - Country:US
Mailing Address - Phone:407-944-4900
Mailing Address - Fax:407-483-0688
Practice Address - Street 1:14605 ISLEVIEW DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-6203
Practice Address - Country:US
Practice Address - Phone:407-944-4900
Practice Address - Fax:407-483-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty