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NPI Code Detail

MEDICARE: DR. SATISH MAHNA M.D.

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
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician35-053450OH

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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Directions to “ DR. SATISH MAHNA M.D.” Practice Location

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