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NPI Code Detail

MEDICARE: DR. GULREZ TAHIR MAHMOOD M.D.

MEDICARE: DR. GULREZ TAHIR MAHMOOD M.D.
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
12086S0129XVascular Surgery Physician333103LA
22086S0129XVascular Surgery PhysicianW1311TX

General Provider Information

NPI Number : 1982014213
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GULREZ TAHIR MAHMOOD M.D.
Provider Business Mailing Address
First Line : 7777 HENNESSY BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4300
Country : US
Telephone Number : 225-766-0416
Fax Number :
Provider Business Practice Location Address
First Line : 7777 HENNESSY BLVD STE 1008
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4368
Country : US
Telephone Number : 225-766-0416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2014
Last Update Date : 03/30/2026

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