Organization Active NPI

Kathy Mahalati

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1689971038
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0054561 Issued in MD
Legal business name
KATHY MAHALATI
Practice address
404 Firestone Dr
Silver Spring, MD 20905-8010
Phone
(410) 254-8842
Fax
(410) 633-9182
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Ms. Kathy M Mahalati, MD
Title
Owner
Phone
(301) 254-8842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0054561 MD Primary

Addresses

Primary practice location

404 Firestone Dr
Silver Spring, MD 20905-8010

Mailing address

404 Firestone Dr
Silver Spring, MD 20905-8010
Phone (410) 254-8842

Other identifiers 1

IdentifierTypeStateIssuer
917900300MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1689971038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 FIRESTONE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209058010",
            "telephone_number": "410-254-8842",
            "fax_number": "410-633-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FIRESTONE DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209058010",
            "telephone_number": "410-254-8842",
            "fax_number": "410-633-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY MAHALATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "MAHALATI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-254-8842",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0054561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917900300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.