DR. ABDUL WAZED MAHMUD (NPI# 1750462842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750462842 |
| Entity Type | Individual |
| Full Name | DR. ABDUL WAZED MAHMUD |
| Practice Address |
145 South Main Street Middletown CT 06457 |
| Practice Telephone | 8603465889 |
| Practice Fax Number | 8603461445 |
| Mailing Telephone | 8603465889 |
| Mailing Fax Number | 8603461445 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
16942 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BCBS OF CT | 010016942CT01 | 01 |
| CT | HEALTH NET, INC. | 0V0170 | 01 |
| CT | CONNECTICARE, INC | 059228 | 01 |
| Street Address |
145 SOUTH MAIN STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750641601 | Sophia Khan | Internal Medicine | 15 Arden Ct, Middletown, NY 10940-5071 | 2012-05-25 |
| 1326048224 | Goddard S Lainjo | Internal Medicine | 41 Dolson Ave, Middletown, NY 10940-6489 | 2005-07-21 |
| 1710520853 | Shwu-yn Chang | Internal Medicine | 3100 Schoolhouse Rd, Middletown, PA 17057-3548 | 2019-10-22 |
| 1346583788 | Middlesex Rheumatology, LLC | Internal Medicine | 80 E Main St, Middletown, CT 06457-3840 | 2013-04-04 |
| 1609004209 | Bella Fradlis | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2009-06-23 |
| 1275789141 | Elena Katzap | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2008-08-12 |
| 1457516411 | Tahir Abdullah Khan | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2008-07-18 |
| 1124292966 | Crispin Reynaldo Abarientos | Internal Medicine | 80 S Main St, Middletown, CT 06457-3648 | 2008-04-14 |
| 1770776239 | Jenny Margarita Cabas Vargas | Internal Medicine | 707 E Main St, Middletown, NY 10940-2650 | 2007-08-19 |
| 1225232556 | Suleman Bhana | Internal Medicine | 95 Crystal Run Rd, Middletown, NY 10941-7001 | 2007-06-12 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. ABDUL WAZED MAHMUD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.