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Dr. Mahon Mahmodian, DO
Student in an Organized Health Care Education/Training Program in Lewisburg, West Virginia
NPI 1083238752

Mahon Mahmodian is a Student in an Organized Health Care Education/Training Program based in Lewisburg, WV. Mahon Mahmodian practices in Lewisburg, WV and has the professional credentials of DO. The NPI Number for Mahon Mahmodian is 1083238752 and holds a License No. (West Virginia).

The current practice location address for Mahon Mahmodian is 400 North Jefferson St, Lewisburg, WV and can be reached out via phone at 304-645-3220 and via fax at 304-647-1273.

Location: 400 North Jefferson St, Lewisburg, WV, 24901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083238752
Provider Name
Mahon Mahmodian
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
400 North Jefferson St, Lewisburg, WV, 24901
Phone Number
304-645-3220
Fax Number
304-647-1273
Provider Enumeration Date
05/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 North Jefferson St
City
Lewisburg
State
West Virginia
Zip
24901
Phone Number
304-645-3220
Fax Number
304-647-1273
person
Provider Business Mailing Address Details
Address
400 North Jefferson St
City
Lewisburg
State
West Virginia
Zip
24901
Phone Number
304-645-3220
Fax Number
304-647-1273
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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