MEDICARE: JANAE ELISE MAHER M.D.

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	208000000X	Pediatrics Physician	T5975	TX
2	208000000X	Pediatrics Physician	60296	AZ

General Provider Information

NPI Number	:	1083147011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAE ELISE MAHER M.D.

Provider Business Mailing Address
First Line	:	8895 E GOLF LINKS RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1312
Country	:	US
Telephone Number	:	202-936-6865
Fax Number	:

Provider Business Practice Location Address
First Line	:	8895 E GOLF LINKS RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1312
Country	:	US
Telephone Number	:	202-936-6865
Fax Number	:

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

Provider Enumeration Date	:	04/06/2017
Last Update Date	:	08/26/2024

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