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Individual

ABRAHAM MAHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 INDEPENDENCE CIRCLE, SUITE 2C, VIRGINIA BEACH, VA 23454
(757) 499-8855
(757) 552-0574
Mailing address
700 INDEPENDENCE CIRCLE, SUITE 2C, VIRGINIA BEACH, VA 23454
(757) 499-8855
(757) 552-0574

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101028396
VA
208800000X
Urology Physician
35-03-5601-M
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7520182
VA
Enumeration date
08/31/2006
Last updated
05/11/2011
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