| Mahlies Internal Medicine Specialist Inc | |
|
6 Columbus St Bedford OH 44146-2819 | |
| (440) 232-6467 | |
| Not Available |
| Full Name | Mahlies Internal Medicine Specialist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Columbus St, Bedford, Ohio |
| Authorized Official Name and Position | Khaled Mahlies (OWNER) |
| Authorized Official Contact | 4402326467 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahlies Internal Medicine Specialist Inc 6 Columbus St Bedford OH 44146-2819 Ph: (440) 232-6467 | Mahlies Internal Medicine Specialist Inc 6 Columbus St Bedford OH 44146-2819 Ph: (440) 232-6467 |
| NPI Number | 1770809923 |
|---|---|
| Provider Enumeration Date | 04/13/2010 |
| Last Update Date | 07/13/2011 |
| Medicare PECOS PAC ID | 5395938716 |
|---|---|
| Medicare Enrollment ID | O20101018001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770809923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35071455 (Ohio) | Primary |
| Provider Name | Khaled Mahlies |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720585 PECOS PAC ID: 6204029622 Enrollment ID: I20101018001327 |
| Provider Name | Tamara Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053784637 PECOS PAC ID: 8921306002 Enrollment ID: I20160406002162 |
| Provider Name | Christina Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669830840 PECOS PAC ID: 3274831888 Enrollment ID: I20160415000353 |
| Provider Name | Victoria Boylen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679021968 PECOS PAC ID: 1951683689 Enrollment ID: I20170112002976 |
| Provider Name | Alexandra Yatras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134425531 PECOS PAC ID: 9638351646 Enrollment ID: I20170817004092 |
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