Individual
SANJAY MAHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Mailing address
317 WESTERN BLVD, JACKSONVILLE, NC 28546-6338
(910) 577-2345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2024-01558
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/29/2021
Last updated
08/30/2024
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