Provider Demographics
NPI:1174581789
Name:MAHMUD, HUMAIRA A (MD)
Entity type:Individual
Prefix:DR
First Name:HUMAIRA
Middle Name:A
Last Name:MAHMUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5 SAUNDERS RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1282
Mailing Address - Country:US
Mailing Address - Phone:508-281-5953
Mailing Address - Fax:508-229-2343
Practice Address - Street 1:640 BOLTON STREET
Practice Address - Street 2:KIDNEY & HYPERTENSION CLINIC INC.
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-281-5953
Practice Address - Fax:508-229-2343
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2010-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154239207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology