Healthcare Provider Details

I. General information

NPI: 1235067596
Provider Name (Legal Business Name): DANIEL THOMAS MAHONEY-HERBIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: DANIEL THOMAS MAHONEY JR. MD

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6248
  • Fax:
Mailing address:
  • Phone: 301-295-8901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: