Mahanti, Robert L

Mahanti, Robert L is an individual health care provider with primary practice located at 900 N San Francisco St , Flagstaff AZ 86001-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mahanti, Robert L can be contacted via phone (928) 779-7000.

Contact Information

Primary practice address
900 N San Francisco St Flagstaff AZ 86001-3236
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20847 Arizona

Profile Details

NPI number 1730146499
LBN Legal business name Mahanti, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 25th, 2008 - about 16 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 1730146499 NPPES
Arizona Other AZ0380480 BLUE CROSS BLUE SHIELD
Arizona Other 1659445062 BLUE CROSS BLUE SHIELD
Arizona Other 180022943 BLUE CROSS BLUE SHIELD
Arizona Other 110510 BLUE CROSS BLUE SHIELD
Arizona Other DG6643 BLUE CROSS BLUE SHIELD
Arizona MEDICAID 110510 BLUE CROSS BLUE SHIELD
Arizona Other 290066 BLUE CROSS BLUE SHIELD

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