Healthcare Provider Details

I. General information

NPI: 1235076027
Provider Name (Legal Business Name): MAHA MASOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 EMRICK BLVD STE 112
BETHLEHEM PA
18020-8037
US

IV. Provider business mailing address

3101 EMRICK BLVD STE 112
BETHLEHEM PA
18020-8037
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5280
  • Fax: 833-816-5609
Mailing address:
  • Phone: 484-822-5280
  • Fax: 833-816-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT236322
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: