Mahanor, Charles

Mahanor, Charles is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester Center MA 02124-5615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mahanor, Charles can be contacted via phone (617) 296-4000.

Contact Information

Primary practice address
2100 Dorchester Ave Dorchester Center MA 02124-5615
Fax: (617) 298-2517
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24393 Massachusetts

Profile Details

NPI number 1427045657
LBN Legal business name Mahanor, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jul 8th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427045657 NPPES
Massachusetts MEDICAID 2086417

Popular Providers