MEDICARE: DR. ALFRED JOHN MAHER 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	207R00000X	Internal Medicine Physician	2837	NV
2	208M00000X	Hospitalist Physician	2837	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184608945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED JOHN MAHER MD

Provider Business Mailing Address
First Line	:	PO BOX 6840
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89513-6840
Country	:	US
Telephone Number	:	775-329-1597
Fax Number	:	775-329-6144

Provider Business Practice Location Address
First Line	:	990 CAUGHLIN XING
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89519-0631
Country	:	US
Telephone Number	:	775-329-1597
Fax Number	:	775-329-6144

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

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	10/26/2009

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Directions to “ DR. ALFRED JOHN MAHER MD” Practice Location

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