Individual
DR. ROBERT L MAHANTI
Active
Individual
DR. ROBERT L MAHANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20847
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110510
APIPA
—
05
—
110510
—
AZ
01
—
1659445062
GROUP NPI
—
01
—
180022943
MEDICARE RAILROAD
—
01
—
290066
MEDICAID GROUP
—
01
—
AZ0380480
BLUE CROSS BLUE SHIELD
AZ
01
—
DG6643
MEDICARE RAILROAD GROUP
—
Enumeration date
04/27/2006
Last updated
04/25/2008
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