Individual
TOM MAHAKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9783
Mailing address
1430 TULANE AVE., SL-50, NEW ORLEANS, LA 70112
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102205468
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2015
Last updated
02/08/2021
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