Individual ProviderFaruq MahmudRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-2007(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Faruq Mahmud is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1063473783Provider TypeIndividualFull NameMahmud, FaruqTitleDr.CredentialM.D.GenderMaleEnumeration Date3/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-2007Phone(570) 271-6301FaxUnlisted FaxMailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-3034Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD019842EPennsylvania