Doctor Name: | SEAN M MAHAN |
NPI Number: | 1063445963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME70745 |
Business Practice Address: | 2572 W State Road 426 Suite 2032 Oviedo, FL - 327658389 |
Business Phone Number: | 4076991100 |
Business Fax Number: | 4072188833 |
Mailing Address: | 2572 W State Road 426, Suite 2032 OVIEDO |
State: | FL |
Postal Code: | 327658389 |
Phone Number: | 4076991100 |
Fax Number: | 4072188833 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ME70745 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |