| Tariq Mahmood, MD. LLC. | |
|
215 Washington Heights Med Ctr Westminster MD 21157-5632 | |
| (410) 848-5450 | |
| (410) 848-5451 |
| Full Name | Tariq Mahmood, MD. LLC. |
|---|---|
| Speciality | Internal Medicine |
| Location | 215 Washington Heights Med Ctr, Westminster, Maryland |
| Authorized Official Name and Position | Tariq Mahmood (OWNER) |
| Authorized Official Contact | 4108485450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tariq Mahmood, MD. LLC. 215 Washington Heights Medical Center Westminster MD 21157-4458 Ph: (410) 848-5450 | Tariq Mahmood, MD. LLC. 215 Washington Heights Med Ctr Westminster MD 21157-5632 Ph: (410) 848-5450 |
| NPI Number | 1922178219 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 0042317042 |
|---|---|
| Medicare Enrollment ID | O20070529000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922178219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0043725 (Maryland) | Primary |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770501454 PECOS PAC ID: 0547211997 Enrollment ID: I20070221000269 |
| Provider Name | Dominique Olivier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649743972 PECOS PAC ID: 4688917289 Enrollment ID: I20190523000088 |
| Provider Name | Priya Premkumar Srinivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811445745 PECOS PAC ID: 9638458961 Enrollment ID: I20231024000957 |
| Provider Name | Ruby Ibarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720853286 PECOS PAC ID: 5092164673 Enrollment ID: I20231207002047 |
| Provider Name | Jovita Agbor Nwaugwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619743713 PECOS PAC ID: 6709236177 Enrollment ID: I20240308003393 |
| Provider Name | Zelbesa V Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558749267 PECOS PAC ID: 6507166147 Enrollment ID: I20240829001836 |
| Provider Name | Wubit Tilahun Raru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295340537 PECOS PAC ID: 1951717362 Enrollment ID: I20260612003870 |
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