MAHAJAN THERAPEUTICS LLC NPI 1730719543

NPI Information

  • NPI: 1730719543
  • Provider Name: MAHAJAN THERAPEUTICS, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 36D2186956
  • Address: 6300 N MAIN ST
    DAYTON, OH
    ZIP 45415
  • Phone: (937) 275-1500

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NPI Details

MAHAJAN THERAPEUTICS, LLC is a primary care clinic center in Dayton, OH. MAHAJAN THERAPEUTICS, LLC NPI is 1730719543. The provider is registered as an organization entity type.

The provider's business location address is:

6300 N MAIN ST
DAYTON, OH
ZIP 45415-154
Phone: (937) 275-1500
Fax: (937) 275-1555

The provider's authorized official is Bruce Jarvie .
The authorized official title is Vp, Treasurer and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 36D2186956 - other - narcotic treatment center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2020 and was last updated on 7/29/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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