Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0101037343 | VA |
NPI | 1003888553 |
---|---|
Provider Name | Rhoda B Mahoney |
First Address | Richmond, VA 23226-3643 |
Second Address | Richmond, VA 23226-3643 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 08/07/2007 |