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NPI Lookup from the NPI Registry — National Provider Identifier Database

JAMES M MAHAN, MD – NPI #1235163825
Gynecology


Contact Information

JAMES M MAHAN, MD
550 S JACKSON ST
3RD FLOOR
LOUISVILLE, KY40202-1622
 Phone: 502-561-8850
 Fax: 502-561-8851
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Gynecology

207VG0400X
Indicates primary specialty
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NPI Information for JAMES M MAHAN · (Male)

NPI Number 1235163825
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 09/29/2008 - About 6 years ago
Sole proprietor 1 No
Identifiers
KY License # 13270
IN Medicaid 200279390
KY Medicaid 64014525
KY Medicare PIN 0060386
KY Medicare UPIN 0979703
KY Medicare UPIN C70624
KY Other 000000112567 ANTHEM
KY Other 1124179 PASSPORT PCP FOUNDATION
KY Other 1124178 PASSPORT SPECIALITY FOUNDATION
KY Other 50008840 PASSPORT SPECIALITY - PSC
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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