Provider Demographics
NPI:1609846609
Name:MAHMOOD, EDNA Z (MD)
Entity type:Individual
Prefix:DR
First Name:EDNA
Middle Name:Z
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 GRANITE POINT DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1986
Mailing Address - Country:US
Mailing Address - Phone:610-378-1344
Mailing Address - Fax:610-378-5169
Practice Address - Street 1:1 GRANITE POINT DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1986
Practice Address - Country:US
Practice Address - Phone:610-378-1344
Practice Address - Fax:610-378-5169
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2016-02-23
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Provider Licenses
StateLicense IDTaxonomies
PAMD-038669-L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA180025846OtherRAILROAD MEDICARE
PA0795512Medicaid
PA180025846OtherRAILROAD MEDICARE
PA0795512Medicaid