NPI 1154709723

Tom Mahakian

Practitioner General Practice Physician Richmond, VA

Practice location

Address: 1250 E Marshall St, Richmond, VA 23298-5023
Phone: (804) 828-9783
Mailing address: 1430 Tulane Ave., Sl-50, New Orleans, LA 70112

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0102205468 (VA)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1154709723
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2015
Record last updated: 8 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.