# KELLY MAH, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manteca Obstetrics and Gynecology Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477654341
- **Authorized official:** KELLY MAH M.D. (PRESIDENT)
- **Authorized official phone:** (209) 823-7616

## Contact information

- **Practice address:** 421 E CENTER ST, MANTECA, CA 95336-4718
- **Practice address phone:** (209) 823-7616
- **Practice address fax:** (209) 823-4352
- **Mailing address:** 421 E CENTER ST, MANTECA, CA 95336-4718
- **Mailing address phone:** (209) 823-7616
- **Mailing address fax:** (209) 823-4352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G065156 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/07/2023