MEDICARE: MONICA MAHAJAN 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	235335	NY

General Provider Information

NPI Number	:	1295708410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA MAHAJAN MD

Provider Business Mailing Address
First Line	:	3 GATES CIR
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14209-1120
Country	:	US
Telephone Number	:	716-887-4690
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BIESTERFIELD RD STE 605
Second Line	:
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-3362
Country	:	US
Telephone Number	:	847-364-6724
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	03/23/2021

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Directions to “ MONICA MAHAJAN MD” Practice Location

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