Maiteh, Mamon Y

Maiteh, Mamon Y is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Maiteh, Mamon Y can be contacted via phone (419) 479-5560.

Contact Information

Primary practice address
4235 Secor Rd Toledo OH 43623-4231
Phone: (419) 479-5560
Fax: (419) 473-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301079222 Michigan
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2007001624 Missouri

Profile Details

NPI number 1699747899
LBN Legal business name Maiteh, Mamon Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Sep 15th, 2010 - about 14 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 1699747899 NPPES
Michigan MEDICAID 4746015

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