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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL MAI M.D.

MEDICARE: DR. JOHN MICHAEL MAI 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
1208800000XUrology Physician01067944AIN
2208800000XUrology Physician51207AZ

Other Identifiers

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

General Provider Information

NPI Number : 1306086798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL MAI M.D.
Provider Business Mailing Address
First Line : 400 W 84TH DR
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6248
Country : US
Telephone Number : 219-736-1255
Fax Number :
Provider Business Practice Location Address
First Line : 14044 W CAMELBACK RD STE 118
Second Line :
City : LITCHFIELD PARK
State : AZ
Zip : 85340-9481
Country : US
Telephone Number : 623-547-2600
Fax Number : 623-547-1899
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2009
Last Update Date : 07/21/2022

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Directions to “ DR. JOHN MICHAEL MAI M.D.” Practice Location

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