Mani Mahdavian, MD Valid NPI

Individual provider · Gastroenterology Physician · Des Plaines, IL

NPI

1992873624

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

036095201 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2006-12-01

Last updated

2024-08-22