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Individual

CHRISTOPHER MAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2147 MOWRY AVE, SUITE D-2, FREMONT, CA 94538-1724
(510) 793-1583
(510) 793-5691
Mailing address
2147 MOWRY AVE, SUITE D-2, FREMONT, CA 94538-1724
(510) 793-1583
(510) 793-5691

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2975
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E29750
CA
05
000E29751
CA
01
480002564
PALMETTO-GBA
CA
01
480003813
PALMETTO-GBA
CA
Enumeration date
11/04/2006
Last updated
07/13/2023
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