Mahmud Omar Elfituri, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

A185562 Issued in CA

Practice address

750 Welch Rd Ste 305
Palo Alto, CA 94304-1510

Phone

(650) 721-6849

Fax

(650) 725-8343

NPI assigned

Jun 12, 2020

Reactivated

Apr 6, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1114542479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH RD STE 305",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041510",
            "telephone_number": "650-721-6849",
            "fax_number": "650-725-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WELCH RD STE 305",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041510",
            "telephone_number": "650-721-6849",
            "fax_number": "650-725-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFITURI",
        "first_name": "MAHMUD",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A185562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasser Y El-Sayed, MD
• Paul James Elcavage, MD
• Stefan Filip Tobias Elde
• Kirsti Ilona Weng Elder, MD
• Samer Sam Eldika, M.D.
• Susan Elgee, MD
• Hannah Nicole Tan Eliab, MD
• Colin R Elie, PA-C
• Anet Elieh, M.S.
• Zoi Dorit Eliou, PH.D.

• Pediatric Cardiology Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.