Individual
MICHAEL S MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11795 EDUCATION ST STE 213, AUBURN, CA 95602-2469
(530) 886-6800
(530) 886-6801
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A87706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7050815
—
CA
Enumeration date
02/26/2007
Last updated
03/17/2018
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