Provider Demographics
NPI:1447407697
Name:MAHESH, SAMEER A (MD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:A
Last Name:MAHESH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:525 E MARKET ST
Mailing Address - Street 2:PO BOX 2090
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1619
Mailing Address - Country:US
Mailing Address - Phone:330-996-8603
Mailing Address - Fax:330-996-8695
Practice Address - Street 1:161 N FORGE ST
Practice Address - Street 2:SUITE 198
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1468
Practice Address - Country:US
Practice Address - Phone:330-376-1043
Practice Address - Fax:330-376-9951
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2011-03-23
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Provider Licenses
StateLicense IDTaxonomies
OH35092150207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2871389Medicaid
OH2871389Medicaid