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NPI Code Detail

MEDICARE: FARIA MAHMOOD MD

MEDICARE: FARIA MAHMOOD MD
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
1207R00000XInternal Medicine Physician041977CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00296311OTHERCTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427020080
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARIA MAHMOOD MD
Provider Business Mailing Address
First Line : 100 REDDING RD
Second Line :
City : REDDING
State : CT
Zip : 06896-3236
Country : US
Telephone Number : 203-852-2494
Fax Number :
Provider Business Practice Location Address
First Line : 100 REDDING RD
Second Line :
City : REDDING
State : CT
Zip : 06896-3236
Country : US
Telephone Number : 203-852-2494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 10/31/2025

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