Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anum Mahmood, RPA-C

Individual provider Physician Assistant · NPI 1427725936

Anum Mahmood, RPA-C is a Physician Assistant in Lake Grove, New York. Qualified in 2021, 5 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
5
In the registry since
2021
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Practice location Address checks out

4 Smith Haven Mall
Lake Grove, NY 11755-1219
Phone: (631) 444-1993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1427725936
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Stony Brook Internists University Faculty Practice Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 428 clinicians in the practice; 12 are shown here.

Other providers in Lake Grove