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1710156294
WAKENGO MAHANIAH
PHILADELPHIA, PA
NPI
1710156294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MD435219)
Enumeration Date
2008-02-28
Last Update Date
2017-11-14
Business Address
WAKENGO MAHANIAH M.D.
5000 WOODLAND AVE
PHILADELPHIA, PA 19143-5137
Phone number: 215-726-9807
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Mailing Address
WAKENGO MAHANIAH M.D.
1401 S 31ST ST 2ND FLOOR
PHILADELPHIA, PA 19146-3506
Phone number: 215-925-2400
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