Individual provider · Type 1 NPI

Shady Mahmoud, MBBCH

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1699320556 Active

Practice location

Montefiore Medical Center, 111 East 210th Street
Bronx, NY 10467

Fax (347) 577-4596

Mailing address

1250 Waters Pl. Montefiore Medical Center, Tower 1, 11th Floor
Bronx, NY 10461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699320556

Shady Mahmoud, MBBCH's National Provider Identifier is 1699320556, issued on Aug 7, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Aug 7, 2019.