NARGIZA MAHMUDOVA DPM NPI 1558710301

NPI Information

NPI: 1558710301
Provider Name: NARGIZA MAHMUDOVA, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
963 STREET RD STE 103B
SOUTHAMPTON, PA
ZIP 18966
Phone: (267) 207-3955
Get Directions

Nargiza Mahmudova, DPM is a foot and ankle surgery podiatrist in Southampton, PA. Nargiza Mahmudova, DPM NPI is 1558710301. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

963 STREET RD STE 103B
SOUTHAMPTON, PA
ZIP 18966-728
Phone: (267) 207-3955
Fax: (267) 805-4501

The NPI 1558710301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/11/2016 and was last updated on 3/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213E00000X	Podiatrist		SC006719	PENNSYLVANIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC006719	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1036598200001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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