Individual provider · NPI-1
Dr. Charles Gregory Mahakian, M.D.
Preventive Medicine, Aerospace Medicine · Hampton, VA
NPI number1750450177
StatusActive
Last updated in NPPESOct 27, 2025
Details
- NPI
- 1750450177
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Gregory Mahakian
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 7, 2006
- Certification date
- Oct 27, 2025
- Last updated
- Oct 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083A0100X | Preventive Medicine, Aerospace Medicine | A95770 | CA | Yes |
| 207R00000X | Internal Medicine | A95770 | CA | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | A95770 | CA |
Practice location
77 Nealy AveHampton, VA 23665-2040
Phone 757-764-9848
Mailing address
77 Nealy AveHampton, VA 23665-2040
Phone 757-764-9848
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