MEDICARE: DR. SATISH MAHNA 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	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	35-053450	OH

General Provider Information

NPI Number	:	1417053737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATISH MAHNA M.D.

Provider Business Mailing Address
First Line	:	23620 HALBURTON ROAD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122
Country	:	US
Telephone Number	:	216-577-0224
Fax Number	:

Provider Business Practice Location Address
First Line	:	5311 NORTHFIELD RD STE 308
Second Line	:
City	:	BEDFORD HTS
State	:	OH
Zip	:	44146-1102
Country	:	US
Telephone Number	:	216-577-0224
Fax Number	:	216-663-5006

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	06/15/2022

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