Individual
DR. JONATHAN R MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 LAMB CIR # L-760, CHRISTIANSBURG, VA 24073-6344
(540) 731-2436
(540) 731-2439
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101238594
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669549986
HEALTHKEEPERS PLUS
VA
05
—
1669549986
—
VA
01
—
3810029560
MEDICAID OF WEST VIRGINIA
VA
01
—
P01563951
RAILROAD MEDICARE
VA
Enumeration date
11/30/2006
Last updated
08/08/2022
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