MEDICARE: ABHISHEK MAAN M.D., SCM

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	207RC0000X	Cardiovascular Disease Physician	35.152311	OH
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	35.152311	OH
3	207R00000X	Internal Medicine Physician	273999	MA
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	303670	NY
5	207RC0000X	Cardiovascular Disease Physician	303670	NY

General Provider Information

NPI Number	:	1669604682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABHISHEK MAAN M.D., SCM

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1455 W MEDICAL LOOP
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-8015
Country	:	US
Telephone Number	:	419-214-6600
Fax Number	:

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

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	01/21/2026

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