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MICHAEL MAHONEY INTERNAL MEDICINE INC. NPI 1366035420


NPI Information

NPI: 1366035420
Provider Name: MICHAEL MAHONEY INTERNAL MEDICINE, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3409 45TH ST S STE 106
FARGO, ND
ZIP 58104
Phone: (701) 354-7479
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MICHAEL MAHONEY INTERNAL MEDICINE, INC. is a general practice in Fargo, ND. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MICHAEL MAHONEY INTERNAL MEDICINE, INC. NPI is 1366035420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3409 45TH ST S STE 106
FARGO, ND
ZIP 58104-970
Phone: (701) 354-7479

The provider's authorized official is Beth Horvatich .
The authorized official title is Director Of Ops and has the following contact phone number (402) 614-4969.

The enumeration date for this NPI number is 2/18/2021 and was last updated on 5/3/2021.


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
1208D00000XGeneral PracticeYes

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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