Healthcare Provider Details

I. General information

NPI: 1376570358
Provider Name (Legal Business Name): RASHIDA PARVEEN MAHMUD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RT 30 WEST RR6 BOX 211
GREENSBURG PA
15601
US

IV. Provider business mailing address

1244 CATALINA DRIVE
MONROEVILLE PA
15146
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-5200
  • Fax:
Mailing address:
  • Phone: 412-373-4984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD054072L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: