| Mahajan Therapeutics, LLC | |
|
6300 N Main St Dayton OH 45415-3154 | |
| (937) 275-1500 | |
| (937) 275-1555 |
| Full Name | Mahajan Therapeutics, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6300 N Main St, Dayton, Ohio |
| Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
| Authorized Official Contact | 2143793300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahajan Therapeutics, LLC 6300 N Main St Dayton OH 45415-3154 Ph: (937) 275-1500 | Mahajan Therapeutics, LLC 6300 N Main St Dayton OH 45415-3154 Ph: (937) 275-1500 |
| NPI Number | 1730719543 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730719543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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