Dr. Mohammad I. Mehmood D.O. - Family Medicine Physician in Silver Spring, Maryland | ProviderWire

Full Name

Dr. Mohammad Imran Mehmood D.O.

NPI Number

1033438791

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/20/2010

Specialties

(Taxonomies)

Name

Family Medicine Physician

Student in an Organized Health Care Education/Training Program

Code

207Q00000X

390200000X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

New York

License Number

H72163

255215

Contact
Information

Purpose

Mailing

Location

Address

2101 E JEFFERSON ST

1500 FOREST GLEN RD

City

Rockville

Silver Spring

State

MD

MD

Postal Code

20852-4908

20910-1483

Country

US

US

Telephone Number

(301) 816-2424

(301) 905-3600

Health Information Exchange

Endpoint Type

SOAP

Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways

Endpoint Description

Carequality

Use

Health Information Exchange (HIE)

Content Type

Other

Other Description:
C-CDA

Affiliation

N

Endpoint Location

1500 Forest Glen RdKaiser Permanente Holy Cross HospitalSilver Spring, MD209101483US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/28/2021

Provider Address

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