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NPI Code Detail

MEDICARE: SATNAM S MAHAL MD

MEDICARE:   SATNAM S MAHAL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician105270MO

General Provider Information

NPI Number : 1053399915
Entity Type Code : Individual
Provider Name (Legal Business Name) : SATNAM S MAHAL MD
Provider Business Mailing Address
First Line : 2000 HATTON CT
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-5471
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1197 HIGHWAY KK
Second Line :
City : OSAGE BEACH
State : MO
Zip : 65065-3344
Country : US
Telephone Number : 573-348-5331
Fax Number : 573-348-2393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2006
Last Update Date : 07/08/2007

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Directions to “ SATNAM S MAHAL MD” Practice Location

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