Kiame Jackson Mahaniah, MD

NPI #1790771756 in Salem, Massachusetts

Provider Information

NPI Number: 1790771756
Entity Type: Individual
Name: Kiame Jackson Mahaniah, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 26, 2005
Last Updated: Jul 20, 2012

Practice Location

Address: 47 CONGRESS ST
City: Salem
State: Massachusetts
ZIP Code: 01970-7308
Phone: (978) 744-8388

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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