MEDICARE: TAHIR MAHMOOD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1699956094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAHIR MAHMOOD PC

Provider Business Mailing Address
First Line	:	3415 HAMILTON ST
Second Line	:	SUITE 7
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-699-2273
Fax Number	:	301-699-0693

Provider Business Practice Location Address
First Line	:	3415 HAMILTON ST
Second Line	:	SUITE 7
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-3953
Country	:	US
Telephone Number	:	301-699-2273
Fax Number	:	301-699-0693

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TAHIR MAHMOOD
Credential	:
Telephone Number	:	301-613-8923

Provider Enumeration Date	:	11/14/2007
Last Update Date	:	11/14/2007

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