DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MAHMOUD ABU GHANAM, MD

Active Sole Proprietor

DR. MAHMOUD ABU GHANAM, MD is a Interventional Vascular Surgery healthcare provider located in LIBERTY, New York. NPI 1912952540 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · LIBERTY, NY

Registration Details

NPI Number
1912952540
Provider Type
Individual
Gender
Male
NPI Issued
May 23, 2006 (20.039593992859 yrs)
Last Updated
Nov 15, 2024
Licenses
272625 (NY)
272625 (NY)
Sole Proprietor
Yes

Practice Information

Address
1987 STATE ROUTE 52 STE 10
LIBERTY, NY, 127548317
Browse NY providers · Browse ZIP 12754
Phone
8452920078
Fax
8452923244
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in LIBERTY, NY

Name Credential NPI
DR. HUSSEIN OMAR PHYSICIAN, P.C. 1912946088
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.