DR. IJAZ MAHMOOD M.D. NPI 1609858539

NPI Information

  • NPI: 1609858539
  • Provider Name: DR. IJAZ MAHMOOD, M.D.
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • Address: 1239 WOODLAND DR
    SUITE 105
    ELIZABETHTOWN, KY
    ZIP 42701
  • Phone: (270) 900-1461

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NPI Details

DR. Ijaz Mahmood, M.D. is a hematology and oncology internal medicine in Elizabethtown, KY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Ijaz Mahmood, M.D. NPI is 1609858539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1239 WOODLAND DR
SUITE 105
ELIZABETHTOWN, KY
ZIP 42701-770
Phone: (270) 900-1461
Fax: (270) 900-1468

The enumeration date for this NPI number is 11/16/2005 and was last updated on 5/22/2015.

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
1207RH0003XInternal MedicineHematology & Oncology31150KENTUCKYYes

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
11048927OTHERKENTUCKYPASSPORT
2P400040842MEDICARE PINKENTUCKY
364311509MEDICAIDKENTUCKY
4E63326MEDICARE UPINKENTUCKY

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: 11/21/2025

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