Individual
MRS. ANGELA L MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4003 KRESGE WAY STE 224, LOUISVILLE, KY 40207
(502) 895-2295
(502) 895-2296
Mailing address
2700 STANLEY GAULT PKWY STE 129, LOUISVILLE, KY 40223-5176
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
44595
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100243450
—
KY
Enumeration date
01/30/2007
Last updated
12/08/2020
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