Kelly Mah M.D.

NPI 1053420489 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1053420489
Gender Male
Enumeration Date 08/30/2006
Last Updated 09/20/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
421 E CENTER ST
MANTECA CA, 95336-4718, US
Phone (209) 823-7616
Fax (209) 823-4352
Business Location
421 E CENTER ST
MANTECA CA, 95336-4718, US
Phone (209) 823-7616
Fax (209) 823-4352
Toxanomy
Taxonomy Code 207V00000X
License State California
License Number G065156
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According to our database, Dr. Kelly Mah M.D. NPI is 1053420489, taxonomy code is 207V00000X and license number is G065156, license state is located at California. Kelly Mah M.D. physically located at 421 E Center St, Manteca CA, 95336-4718. NPI Number Kelly Mah M.D. has the Individual type.

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1053420489 NPI number is provided on an as is basis without warranty of any kind. 1053420489 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Mah M.D. are for informational purposes only.