NPIMap

Organization Active NPI

Ayesha Mahmood MD LLC

  • Neurological Surgery Physician
  • Havertown, PA
National Provider Identifier
1477852085
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD423490 Issued in PA
Legal business name
AYESHA MAHMOOD MD LLC
Practice address
525 W Chester Pike
Suite 305
Havertown, PA 19083-4500
Phone
(610) 446-3651
Fax
(610) 446-3652
NPI assigned
Mar 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Ayesha Mahmood, M.D.
Title
President
Phone
(610) 446-3651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X MD423490 PA Primary

Addresses

Primary practice location

525 W Chester Pike
Suite 305
Havertown, PA 19083-4500

Mailing address

PO Box 172
Wynnewood, PA 19096-0172
Phone (610) 446-3651

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1477852085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190960172",
            "telephone_number": "610-446-3651",
            "fax_number": "610-446-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W CHESTER PIKE",
            "address_2": "SUITE 305",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834500",
            "telephone_number": "610-446-3651",
            "fax_number": "610-446-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYESHA MAHMOOD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-446-3651",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD423490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.