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Dr. Tallat Mahmood, MD
Hematology & Oncology Physician in Syracuse, New York
NPI 1811937451

Tallat Mahmood is a Hematology & Oncology Physician based in Syracuse, NY and is specialized in Hematology & Oncology. Tallat Mahmood practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Tallat Mahmood is 1811937451 and holds a License No. 4301077088 (New York).

The current practice location address for Tallat Mahmood is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-8200 and via fax at 315-464-8289.

Location: 750 E Adams St, Syracuse, NY, 13212-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811937451
Provider Name
Tallat Mahmood
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
750 E Adams St, Syracuse, NY, 13212-4516
Phone Number
315-464-8200
Fax Number
315-464-8289
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4864663 05 MI
1103312201 01 MI BCBS/BCN
1017788 01 MI MCLAREN HEALTH PLAN-MEDICAID
200000002333 01 MI PHP
4780821 05 MI
200000002333 01 MI PHP FAMILYCARE
7568238 01 MI AETNA
P00254269 01 MI RAILROAD MEDICARE
0M76680004 01 MI MEDICARE ADVANTAGE
1017788 01 MI MCLAREN HEALTH PLAN-COMMERCIAL
1017788 01 MI MCLAREN HEALTH ADVANTAGE
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-8200
Fax Number
315-464-8289
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-8200
Fax Number
315-464-8289
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
4301077088 (Michigan)
Definition
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.
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