Individual
JEFFREY M MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 N 103RD PLZ, SUITE 100, OMAHA, NE 68114-1114
(402) 391-5055
(402) 391-5053
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20858
NE
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20858
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264481-00
—
NE
05
—
1245291236
—
IA
Enumeration date
03/29/2006
Last updated
06/12/2015
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