Provider profile · NPI 1912952540
Mahmoud Abu Ghanam, MD
Pain Medicine, Interventional Pain Medicine · Liberty, NY · NPI 1912952540 · No federal exclusion match
✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.
Registry details
Type
Individual
Primary specialty
Pain Medicine, Interventional Pain Medicine
Enumerated
May 23, 2006
License(s)
272625 (NY), 272625 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1987 STATE ROUTE 52 STE 10 | Liberty, NY 12754-8317 | 845-292-0078 |
| MAILING | PO BOX 190 | Ferndale, NY 12734-0558 | 845-292-0078 |
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