Organization
PADMA R. MAHANT MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMA R MAHANT M.D. (OWNER)
(602) 277-2228
Entity
Organization
Contact information
Practice address
2610 N 3RD ST, SUITE A, PHOENIX, AZ 85004-1156
(602) 277-2228
(602) 265-9494
Mailing address
2610 N 3RD ST, SUITE A, PHOENIX, AZ 85004-1156
(602) 277-2228
(602) 265-9494
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27844
AZ
Other
Enumeration date
10/18/2007
Last updated
04/04/2011
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