NPIMap

Organization Active NPI

Mahnaz Lary MD Inc PS

  • Hematology & Oncology Physician
  • Bellingham, WA
National Provider Identifier
1629514823
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
00030734 Issued in WA
Legal business name
MAHNAZ LARY MD INC PS
Practice address
1211 Cornwall Ave
Bellingham, WA 98225-5020
Phone
(360) 671-7100
Fax
(360) 671-3538
NPI assigned
Jan 11, 2017
Last updated
Jan 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Mahanz Lary, MD
Title
Owner
Phone
(360) 671-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 00030734 WA Primary

Addresses

Primary practice location

1211 Cornwall Ave
Bellingham, WA 98225-5020

Mailing address

1211 Cornwall Ave
Bellingham, WA 98225-5020
Phone (360) 671-7100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1629514823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255020",
            "telephone_number": "360-671-7100",
            "fax_number": "360-671-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255020",
            "telephone_number": "360-671-7100",
            "fax_number": "360-671-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHNAZ LARY MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "LARY",
        "authorized_official_first_name": "MAHANZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-671-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "00030734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.