Individual
PATRICK D MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12298
NE
2085R0202X
Diagnostic Radiology Physician
18707
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00093
BCBS
NE
01
—
13705
MIDLANDS
—
01
—
1600520
UHC SHARE ALLIANCE
—
01
—
1601606
UHC SHARE ALLIANCE
—
01
—
17831
BCBS
IA
05
—
2973305
—
IA
05
—
5973305
—
IA
05
—
6973305
—
IA
05
—
7973305
—
IA
05
—
8973305
—
IA
01
—
BM6826513
IA CONTROLLED SUBSTANCE
—
Enumeration date
06/20/2006
Last updated
03/07/2023
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