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Abid Ullah Mahsud

Internal Medicine

Allopathic & Osteopathic Physicians

1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806

PECOS Enrollment

This provider is enrolled in PECOS as ABID MAHSUD.

Based on the most recent information from CMS, provider Abid Ullah Mahsud is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1629270723
Provider Type
Individual
Full Name
Mahsud, Abid Ullah
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/1/2007
Last Updated
1/27/2022

Contact Information

Practice Location

1439 Jesse Jewell Pkwy NE Ste 202, Gainesville, GA 30501-3806

(770) 219-0023

Unlisted Fax

Mailing Location

PO Box 742616, Atlanta, GA 30374-2616

(770) 219-8420

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 90904 Georgia
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 203107 Louisiana
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME104781 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD462573 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 4M319F600	Description Other	Issuer MEDICARE - PTAN Louisiana
ID 1889806	Description Medicaid	Issuer Unlisted Louisiana

Abid Ullah Mahsud

PECOS Enrollment

Profile Details

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