Doctor Name: | DR. ROBERT MAHMARIAN |
NPI Number: | 1184774457 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | |
Business Practice Address: | 15900 South Cicero Ave Oak Forest Hospital Department Of Surgery Oak Forest, IL - 60452 |
Business Phone Number: | 7086877200 |
Business Fax Number: | 7086334198 |
Mailing Address: | 15900 South Cicero Ave, Oak Forest Hospital Department Of Surgery OAK FOREST |
State: | IL |
Postal Code: | 60452 |
Phone Number: | 7086877200 |
Fax Number: | 7086334198 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |