Individual
JOHN JOSEPH MAHMARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F9767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T79S
MEDICARE1
TX
05
—
134999509
—
TX
05
—
134999510
—
TX
05
—
134999511
—
TX
05
—
1375250
—
LA
01
—
612341
MEDICARE 2
TX
01
—
770000927
MEDICARE 3
TX
01
—
8U8373
BLUE CROSS BLUE SHIELD
TX
01
—
P00295327
RAILROAD MEDICARE
TX
01
—
P01036901
RR MEDICARE
TX
Enumeration date
07/03/2006
Last updated
03/07/2014
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