Provider Demographics
NPI:1770645111
Name:MAHON, KATHERINE MARY (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARY
Last Name:MAHON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5800 WALNUT STREET
Mailing Address - Street 2:SAYRE HEALTH CENTER
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19139
Mailing Address - Country:US
Mailing Address - Phone:215-474-4444
Mailing Address - Fax:215-474-5014
Practice Address - Street 1:5800 WALNUT STREET
Practice Address - Street 2:SAYRE HEALTH CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19139
Practice Address - Country:US
Practice Address - Phone:215-474-4444
Practice Address - Fax:215-474-5014
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2009-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD436240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine