Mahl, Thomas

Mahl, Thomas is an individual health care provider with primary practice located at 3495 Bailey Ave , Buffalo NY 14215-1129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mahl, Thomas can be contacted via phone (716) 862-3145.

Contact Information

Primary practice address
3495 Bailey Ave Buffalo NY 14215-1129
Phone: (716) 862-3145
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 164933 New York

Profile Details

NPI number 1780633412
LBN Legal business name Mahl, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Dec 1st, 2011 - about 13 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 1780633412 NPPES
New York MEDICAID 01192612
New York Other 00010109201
New York Other 2307563
New York Other 000510905001

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