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Individual
DR. MARY JOHN NINAN
Active
Individual
DR. MARY JOHN NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
058551
GA
207RH0003X
Hematology & Oncology Physician
43128
TX
207RH0003X
Hematology & Oncology Physician
N7955
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158193C
—
GA
05
—
003158193D
—
GA
01
—
G10127A
MEDICARE PTAN
GA
Enumeration date
08/15/2007
Last updated
08/20/2020
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