Mahogany DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAHOGANY DME LLC

Practice address

17300 Dallas Pkwy
Suite 1080
Dallas, TX 75248-1145

Phone

(815) 482-2973

NPI assigned

Sep 30, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith Palmer

Title

President

Phone

(815) 482-2973

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1073062105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY",
            "address_2": "SUITE 1080",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 DALLAS PKWY",
            "address_2": "SUITE 1080",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481145",
            "telephone_number": "815-482-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-482-2973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehwish Mahmood, PHARM.D.
• Salman Ali Mahmood, MD
• Shamail Mahmood, M.D
• Anam Mahmud, PA-C
• Nina Erin Mahnke, M.D.
• Ozayr Mahomed
• Brooke Alexis Mahon, CRNA
• Kirk Davis Mahon, MD
• Sean Christian Mahoney, SOCIAL WORKER
• Shannon R Mahoney, PA-C

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.