Provider Demographics
NPI:1710484696
Name:PETER MAAHS, LUCAS GERHARD (MD)
Entity Type:Individual
Prefix:MR
First Name:LUCAS GERHARD
Middle Name:
Last Name:PETER MAAHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:GERHARD
Other - Middle Name:
Other - Last Name:PETER MAAHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:UNIVERSITY OF ILLINOIS AT CHICAGO, HEMATOL AND ONCOLOGY
Mailing Address - Street 2:840 S. WOOD ST., STE 820-E CSB MC 713
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-4325
Mailing Address - Country:US
Mailing Address - Phone:312-996-9424
Mailing Address - Fax:
Practice Address - Street 1:HENRY FORD HOSPITAL, MEDICAL EDUCATION DEPARTMENT
Practice Address - Street 2:2799 W GRAND BOULEVARD
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2608
Practice Address - Country:US
Practice Address - Phone:313-976-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036.155876207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program