Physician Compare National (NPI:1508111089)

HEALTHCARE PROVIDER: TAHIR MAHMOOD D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508111089
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658685482
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20150806011200
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAHMOOD
	Individual professional last name
Provider First Name	TAHIR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHWEST MEDICAL ASSOCIATES, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7214831114
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	235
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	601 DR MARTIN LUTHER KING JR AVE NE
	Group Practice or individual's line 1 address
Line 2 Street Address	LOVELACE MEDICAL CENTER
	Group Practice or individual's line 2 address
City	ALBUQUERQUE
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	871023619
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5057278000
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	320009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LOVELACE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	320038
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	320061
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	GALLUP INDIAN MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	320062
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CROWNPOINT PHS INDIAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	320060
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ZUNI COMPREHENSIVE COMMUNITY HEALTH CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1508111089)

HEALTHCARE PROVIDER: TAHIR MAHMOOD D.O.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information