Individual
DR. PAUL D MAHONEY
Active
Individual
DR. PAUL D MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101224737
VA
207RC0000X
Cardiovascular Disease Physician
2020-01627
NC
207RI0011X
Interventional Cardiology Physician
0101224737
VA
207RI0011X
Interventional Cardiology Physician
Primary
2020-01627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
005836336
—
VA
05
—
005849811
—
VA
01
—
063VC
BC/BS NC
NC
01
—
118777
ANTHEM BC/BS AND HKPRS
VA
01
—
15792
SENTARA OHP/SHP
VA
01
—
23759
OPTIMA HEALTH PLAN
VA
01
—
257828
ATHEM BC/BS VA/HK
VA
01
—
275972
MAMSI
VA
01
—
375972
UHC/MAMSI/MDIPA
VA
05
—
89063G6
—
NC
05
—
89063VC
—
NC
01
—
PAR
USA MANAGED CARE
VA
Enumeration date
02/23/2006
Last updated
09/27/2024
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