Provider Demographics
NPI:1598075913
Name:ABRAHAM MAHINI MDPC
Entity Type:Organization
Organization Name:ABRAHAM MAHINI MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:MAHINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-499-3500
Mailing Address - Street 1:700 INDEPENDENCE CIR
Mailing Address - Street 2:SUITE2C
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-6405
Mailing Address - Country:US
Mailing Address - Phone:757-499-3500
Mailing Address - Fax:
Practice Address - Street 1:700 INDEPENDENCE CIR
Practice Address - Street 2:SUITE2C
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6405
Practice Address - Country:US
Practice Address - Phone:757-499-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty