Healthcare Provider Details

I. General information

NPI: 1386026748
Provider Name (Legal Business Name): SYED NAZEER MAHMOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2015
Last Update Date: 11/01/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 BAY ROAD, UNIT B
DOVER DE
19901-3562
US

IV. Provider business mailing address

640 S STATE ST # MC3055
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-608-5306
  • Fax: 302-608-8504
Mailing address:
  • Phone: 302-608-5306
  • Fax: 302-608-8504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberC1-0025308
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberC1-0025308
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: