Mahmood B. Panjwani M.D, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J6200 Issued in TX

Legal business name

MAHMOOD B. PANJWANI M.D, P.A.

Practice address

3740 N Josey LN
Suite 206
Carrollton, TX 75007-2474

Phone

(214) 731-0031

Fax

(214) 731-0065

NPI assigned

Jul 14, 2005

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmood B Panjwani, M.D.NPI 1679571079

Title

Owner

Phone

(214) 731-0031

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mahmood B. Panjwani MD PA

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1821283276

  O20050721000281

  Same enrollment

Tax ID family

Mahmood B Panjwani MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mahmood B. Panjwani MD PA

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1821283276
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahmood B Panjwani, M.D.

  • Internal Medicine Physician
  • Carrollton, TX
  • NPI 1679571079
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1033118872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN",
            "address_2": "SUITE 206",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072474",
            "telephone_number": "214-731-0031",
            "fax_number": "214-731-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOOD B. PANJWANI M.D, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "PANJWANI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-731-0031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J6200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0048JQ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131082307",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Macphee, PA-C
• Kelsey Alyssa Madenwald
• Srujana Madhavarapu, B.S
• Maftuna Kayumova MD PA
• Mahesh Gondi D.M.D. PLLC
• Mahmood B. Panjwani MD PA
• Le Thanh Vy Mai, RD, LD
• John Maina
• Peninnah Maina
• Mainmedplus (Main Medical Clinic)

• Internal Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.