Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Muddassar Mahboob, MD

Individual provider Internal Medicine Physician · NPI 1790417855

Dr. Muddassar Mahboob, MD is an Internal Medicine in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2022.

Licensed in
MO
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 E Broadway
Columbia, MO 65201-5897
Phone: (573) 815-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2026002228 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2022024043 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2024023940 (MO)

Record details

NPI number1790417855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2022
Last updated in NPPESJune 20, 2026
Certification dateJune 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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