Mahoney, Thomas M

Mahoney, Thomas M is an individual health care provider with primary practice located at 7777 Sunrise Blvd Suite 2500, Citrus Heights CA 95610-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mahoney, Thomas M can be contacted via phone (916) 722-2227.

Contact Information

Primary practice address
7777 Sunrise Blvd Suite 2500 Citrus Heights CA 95610-2300
Phone: (916) 722-2227
Fax: (877) 860-5422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A54815 California

Profile Details

NPI number 1184867814
LBN Legal business name Mahoney, Thomas M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Mar 28th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184867814 NPPES
California Other P01463667-EFF3/18/15 RAILROAD MEDICARE-DV5277
California MEDICAID EFFECTIVE- 1/22/2015 RAILROAD MEDICARE-DV5277

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