Mahdavian, Mani

Mahdavian, Mani is an individual health care provider with primary practice located at 2010 S Arlington Heights Rd Suite 215, Arlington Heights IL 60005-4134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mahdavian, Mani can be contacted via phone (847) 290-3800.

Contact Information

Primary practice address
2010 S Arlington Heights Rd Suite 215 Arlington Heights IL 60005-4134
Phone: (847) 290-3800
Fax: (847) 290-0889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036095201 Illinois

Profile Details

NPI number 1992873624
LBN Legal business name Mahdavian, Mani
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated May 16th, 2012 - about 12 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 1992873624 NPPES
Illinois MEDICAID 036095201
Illinois Other 100016030

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