Mumtaz B. Mehoob

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MUMTAZ B. MEHOOB

Practice address

8455 Baltimore National Pike
Suite C
Ellicott City, MD 21043-4208

Phone

(410) 465-6300

Fax

(410) 465-1943

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mumtaz Banu Mehboob, M.D.

Title

President

Phone

(410) 465-6300

Specialties & licenses 1

Addresses

Other names 1

• 40 West Walk In Medical Center Other name

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982700787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434208",
            "telephone_number": "410-465-6300",
            "fax_number": "410-465-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434208",
            "telephone_number": "410-465-6300",
            "fax_number": "410-465-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUMTAZ B. MEHOOB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHBOOB",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_middle_name": "BANU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-465-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "40 West Walk In Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malikah Muhammad
• Evelyn D Muhlhan, CPM, RN, MS
• Justin Mule, DPT
• Michael Mules, PTA
• Lisa J Mullins
• Muneses Chiropractic Center PC
• Jeffrey Butalid Muneses, D.C.
• Kerry Ann Muneses, DC
• Yesenia Munoz, R.N.
• Natalie Murnane, MS, CPSP

• Clinic/Center in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.