Provider Demographics
NPI:1538237730
Name:MAHON, RICHARD THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:THOMAS
Last Name:MAHON
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:16220 FREDERICK RD STE 213
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-4017
Mailing Address - Country:US
Mailing Address - Phone:301-963-2709
Mailing Address - Fax:
Practice Address - Street 1:16220 FREDERICK RD STE 213
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-4017
Practice Address - Country:US
Practice Address - Phone:301-963-2709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063136207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease