Mahmood, Ahsan

Mahmood, Ahsan is an sole proprietor health care provider with primary practice located at 1720 Beacon St , Fort Wayne IN 46805-4749. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mahmood, Ahsan can be contacted via phone (260) 373-8000.

Contact Information

Primary practice address
1720 Beacon St Fort Wayne IN 46805-4749
Phone: (260) 373-8000
Fax: (260) 373-8034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 252808 New York
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 01067441A Indiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01067441A Indiana

Profile Details

NPI number 1760458921
LBN Legal business name Mahmood, Ahsan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Oct 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760458921 NPPES
New York MEDICAID 02649190
New York MEDICAID 201023350
New York MEDICAID 300012812

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