Provider Demographics
NPI:1740476639
Name:MAHMOOD, ASIYA (MD)
Entity type:Individual
Prefix:
First Name:ASIYA
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:126 W MAIN ST
Mailing Address - Street 2:BAY 4
Mailing Address - City:GUN BARREL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75156-5297
Mailing Address - Country:US
Mailing Address - Phone:903-713-1582
Mailing Address - Fax:903-713-1589
Practice Address - Street 1:126 W MAIN ST
Practice Address - Street 2:BAY 4
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156-5297
Practice Address - Country:US
Practice Address - Phone:903-713-1582
Practice Address - Fax:903-713-1589
Is Sole Proprietor?:No
Enumeration Date:2007-09-24
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM8151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine