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Organization Active NPI

Mahlies Internal Medicine Specialist Inc

  • Internal Medicine Physician
  • Bedford, OH
National Provider Identifier
1770809923
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35071455 Issued in OH
Legal business name
MAHLIES INTERNAL MEDICINE SPECIALIST INC
Practice address
6 Columbus St
Bedford, OH 44146-2819
Phone
(440) 232-6467
NPI assigned
Apr 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Khaled Mahlies, M.D., CMD,CHCQM
Title
Owner
Phone
(440) 232-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35071455 OH Primary

Addresses

Primary practice location

6 Columbus St
Bedford, OH 44146-2819

Mailing address

6 Columbus St
Bedford, OH 44146-2819
Phone (440) 232-6467

National Provider Directory

National Provider Directory

Locations

6 Columbus St
Bedford, OH 44146
Phone (440) 232-6467

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1770809923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COLUMBUS ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462819",
            "telephone_number": "440-232-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLUMBUS ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462819",
            "telephone_number": "440-232-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHLIES INTERNAL MEDICINE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "MAHLIES",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-232-6467",
        "authorized_official_credential": "M.D., CMD,CHCQM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.