Individual
DR. SAMUEL M. MAHAFFEY
Active
Individual
DR. SAMUEL M. MAHAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
0101237610
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702645
UNITED HEATLH CARE
VA
01
—
174614
ANTHEM BCBS
VA
01
—
2134227
MAMSI/OPTIMUM CHOICE
VA
01
—
3116108340002E
CIGNA
VA
01
—
8953736
NORTH CAROLINA MEDICAID
VA
01
—
92534
OPTIMA/SENTARA HEALTH
VA
Enumeration date
07/28/2006
Last updated
07/08/2007
Update your record
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