Individual
DR. PARAG ASHOK MAHATEKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7943 MOFFETT RD, SEMMES, AL 36575
(251) 633-0123
(251) 445-3722
Mailing address
7943 MOFFETT RD, SEMMES, AL 36575-5409
(251) 633-0123
(251) 445-3722
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23280
AL
207Q00000X
Family Medicine Physician
Primary
23280
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000094929559400060
—
AL
Enumeration date
05/25/2006
Last updated
08/20/2018
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