Healthcare Provider Details

I. General information

NPI: 1649371832
Provider Name (Legal Business Name): ASIF MAHMOOD M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CONGRESS ST STE 506
PASADENA CA
91105-3042
US

IV. Provider business mailing address

PO BOX 1697
ARCADIA CA
91077-1697
US

V. Phone/Fax

Practice location:
  • Phone: 626-403-0348
  • Fax: 626-403-0559
Mailing address:
  • Phone: 626-578-0283
  • Fax: 626-578-9416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA72627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: