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NPI Code Detail

MEDICARE: DR. RIHAB MAHMOOD PSYD

MEDICARE: DR. RIHAB MAHMOOD PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist027096NY

General Provider Information

NPI Number : 1205633070
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RIHAB MAHMOOD PSYD
Provider Business Mailing Address
First Line : 120 BOBOLINK CT
Second Line :
City : WAYNE
State : NJ
Zip : 07470-8451
Country : US
Telephone Number : 973-908-4050
Fax Number :
Provider Business Practice Location Address
First Line : 100 DEERFIELD RD
Second Line :
City : WINDSOR
State : CT
Zip : 06095-4252
Country : US
Telephone Number : 860-270-0600
Fax Number : 860-748-4432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 01/07/2026

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