Organization Active NPI

Padma R. Mahant MD, LLC

  • Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1316136914
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
27844 Issued in AZ
Legal business name
PADMA R. MAHANT MD, LLC
Practice address
2610 N 3Rd St
Suite a
Phoenix, AZ 85004-1156
Phone
(602) 277-2228
Fax
(602) 265-9494
NPI assigned
Oct 18, 2007
Last updated
Apr 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Authorized official

Name
Padma R Mahant, M.D.
Title
Owner
Phone
(602) 277-2228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 27844 AZ Primary

Addresses

Primary practice location

2610 N 3Rd St
Suite a
Phoenix, AZ 85004-1156

Mailing address

2610 N 3Rd St
Suite a
Phoenix, AZ 85004-1156
Phone (602) 277-2228

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1316136914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N 3RD ST",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041156",
            "telephone_number": "602-277-2228",
            "fax_number": "602-265-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N 3RD ST",
            "address_2": "SUITE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041156",
            "telephone_number": "602-277-2228",
            "fax_number": "602-265-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMA R. MAHANT MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "MAHANT",
        "authorized_official_first_name": "PADMA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-277-2228",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "27844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.