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
Fax: (209) 366-2352
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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 1144232349 NPPES
California MEDICAID 00A657820

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