Provider Demographics
NPI:1740721554
Name:MAHMOOD, TAHIR N
Entity type:Individual
Prefix:MR
First Name:TAHIR
Middle Name:N
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 1:2556 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14305-3246
Mailing Address - Country:US
Mailing Address - Phone:716-283-5555
Mailing Address - Fax:716-283-5556
Practice Address - Street 1:2556 SENECA AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305
Practice Address - Country:US
Practice Address - Phone:716-283-5555
Practice Address - Fax:716-283-5556
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)