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

Mohammad Mahboob, MD

Individual provider General Practice Physician · NPI 1194018259

Mohammad Mahboob, MD is a General Practice Physician in Providence, Rhode Island. Licensed in Maryland and Rhode Island. Registered with an NPI since 2011.

Licensed in
MD, RI
In the registry since
2011
Specialties on file
2
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

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-8524
Fax: (401) 444-5814
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Specialties & licences

Neuropathology Physician (primary) Taxonomy 207ZN0500X · Licence LP02281 (RI)
General Practice Physician Taxonomy 208D00000X · Licence D88974 (MD)

Record details

NPI number1194018259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2011
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020
Mailing address593 Eddy St, Providence, RI 02903-4923

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