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Individual

DR. KIERAN THOMAS MAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE, 8TH AT RACE STREET, PHILADELPHIA, PA 19117-2496
(215) 238-6600
(215) 629-4905
Mailing address
TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE, PO BOX 827282, PHILADELPHIA, PA 19182-0001
(215) 238-6600
(215) 629-0716

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002615L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009118720005
PA
01
0060594000
KEYSTONE HEALTH PLAN HMO
PA
01
190608
NJ MEDICAL ASSISTANCE
NJ
01
2179196
AETNA
PA
01
231365971
HUMANA
PA
01
231365971071
TRI-CARE
PA
01
28824
HEALTH PARTNERS
PA
01
31790
KEYSTONE MERCY
PA
01
3Y2088
HEALTH NET
PA
01
435719
HEALTH AMERICA HEALTH ASSURANCE
PA
01
480029986
RAILROAD MEDICARE
PA
05
911872
PA
01
91187203
HMA
PA
01
9259
ELDER HEALTH / BRAVO
PA
01
96026
KEYSTONE HEALTH PLAN PPO
PA
01
9991253
CIGNA
PA
01
J96026
INTER-CITY
PA
01
MA096026
BLUE SHIELD OF PA
PA
01
P692463
OXFORD
PA
Enumeration date
09/15/2005
Last updated
05/02/2008
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