Healthcare Provider Details

I. General information

NPI: 1396712790
Provider Name (Legal Business Name): AHMAD MASOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WESTAGE BUSINESS CTR DR STE 210
FISHKILL NY
12524-2266
US

IV. Provider business mailing address

243 NORTH RD STE 304
POUGHKEEPSIE NY
12601-1173
US

V. Phone/Fax

Practice location:
  • Phone: 845-838-8480
  • Fax:
Mailing address:
  • Phone: 845-437-5060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number209460
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: