Individual
GERALD MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
R4H74
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000011339
ESSENCE
MO
01
—
0400402
UHC
MO
01
—
138654
HEALTHLINK
MO
01
—
17644
BCBS
MO
01
—
39965
GHP
MO
01
—
4136351
AETNA
MO
01
—
A12432
MERCY
MO
Enumeration date
11/07/2005
Last updated
03/12/2021
Update your record
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