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KELLY MAH M.D. NPI 1477654341


NPI Information

NPI: 1477654341
Provider Name: KELLY MAH, M.D.

Doing Business As: MANTECA OBSTETRICS AND GYNECOLOGY MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
421 E CENTER ST
MANTECA, CA
ZIP 95336
Phone: (209) 823-7616
Get Directions

KELLY MAH, M.D. is an obstetrics gynecology in Manteca, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. KELLY MAH, M.D. NPI is 1477654341. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Manteca Obstetrics And Gynecology Medical Group.

The provider's business location address is:

421 E CENTER ST
MANTECA, CA
ZIP 95336-718
Phone: (209) 823-7616
Fax: (209) 823-4352

The provider's authorized official is Kelly Mah .
The authorized official title is President and has the following contact phone number (209) 823-7616.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyG065156CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G065156OTHERCALIFORNIAMEDICAL LICENSE NUMBER
2GR0045320MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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