Mahdyoon, Mani
Mahdyoon, Mani is an sole proprietor health care provider with primary practice located at 845 S Fairmont Ave Ste 5 , Lodi CA 95240-5113. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mahdyoon, Mani can be contacted via phone (209) 366-2360.Contact Information
Primary practice address
845 S Fairmont Ave Ste 5
Lodi CA 95240-5113
Phone: (209) 366-2360
Fax: (209) 366-2352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A65782 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A65782 | California |
Profile Details
| NPI number | 1144232349 |
|---|---|
| LBN Legal business name | Mahdyoon, Mani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Dec 31st, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144232349 | NPPES |
| California | MEDICAID | 00A657820 |
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