Individual
MICHELE V MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 N. CLEVELAND AVENUE, SUITE 210, WESTERVILLE, OH 43082
(614) 889-7772
(614) 899-9964
Mailing address
4335 W. DUBLIN- GRANVILLE RD, DUBLIN, OH 43017
(614) 889-7772
(614) 764-0843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35081127
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
35081127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273180
—
OH
Enumeration date
05/03/2006
Last updated
03/04/2022
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