Individual
MELVYN VANROY MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FACC
Contact information
Practice address
6151 S YALE AVE, SUITE 304, TULSA, OK 74136-1907
(918) 494-5300
Mailing address
6600 S YALE AVE, SUITE 1400, TULSA, OK 74136-3310
(918) 488-6001
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
12620
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126205
—
SC
05
—
GP1217
—
SC
05
—
GP2525
—
SC
Enumeration date
08/11/2006
Last updated
02/27/2008
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