Healthcare Provider Details

I. General information

NPI: 1356662431
Provider Name (Legal Business Name): RAMY A MAHMOUD M.D., MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2010
Last Update Date: 10/02/2023
Certification Date: 10/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 STONY HILL RD STE 300
YARDLEY PA
19067-5539
US

IV. Provider business mailing address

2 WAYFARING LN
YARDLEY PA
19067-1452
US

V. Phone/Fax

Practice location:
  • Phone: 609-462-7216
  • Fax:
Mailing address:
  • Phone: 609-462-7216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD061074L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD061074L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: