MEDICARE: NUMAAN MAHMOOD MD

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	207R00000X	Internal Medicine Physician	R80243	AZ

General Provider Information

NPI Number	:	1780375642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NUMAAN MAHMOOD MD

Provider Business Mailing Address
First Line	:	1100 31ST ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5509
Country	:	US
Telephone Number	:	630-469-9200
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 31ST ST
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-5509
Country	:	US
Telephone Number	:	630-469-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2023
Last Update Date	:	06/03/2026

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