Provider Demographics
NPI:1386273779
Name:MAHMUD, TAUHID (MD, MPH)
Entity type:Individual
Prefix:
First Name:TAUHID
Middle Name:
Last Name:MAHMUD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NICHOLLS ROAD HSC LEVEL 3
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-0001
Mailing Address - Country:US
Mailing Address - Phone:347-707-8377
Mailing Address - Fax:
Practice Address - Street 1:101 NICHOLLS ROAD HSC LEVEL 3
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-1771
Practice Address - Country:US
Practice Address - Phone:347-707-8377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY325639207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine