Provider Demographics
NPI:1275883167
Name:MAHER, PAUL (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:MAHER
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10644 WEYMOUTH ST
Mailing Address - Street 2:#104
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4252
Mailing Address - Country:US
Mailing Address - Phone:240-447-6103
Mailing Address - Fax:
Practice Address - Street 1:10644 WEYMOUTH ST
Practice Address - Street 2:#104
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4252
Practice Address - Country:US
Practice Address - Phone:240-447-6103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00564432083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine