MAHOGANY R IDICHANDY MD
NPI 1174377949
Student in an Organized Health Care Education/Training Program in Toledo, OH

Q: What is Mahogany Idichandy's NPI number?

The NPI number for Mahogany Idichandy is 1174377949. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Q: What is Mahogany Idichandy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 16, 2024PECOS Enrolled

3333 GLENDALE AVE, TOLEDO, OH 43614(419) 383-5555(419) 383-3113 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mahogany R Idichandy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAHOGANY R IDICHANDY MD (NPI 1174377949) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174377949

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMAHOGANY R IDICHANDYCredential: MD

Location Address3333 GLENDALE AVEToledo, OH 43614-2426

Mailing Address3333 Glendale AveToledo, OH 43614-2426 · (419) 383-5555 · Fax (419) 383-3113

Phone(419) 383-5555

Fax(419) 383-3113

Sole ProprietorYes

Enumeration DateApril 16, 2024

Last NPPES UpdateJuly 14, 2025

NPPES CertifiedJuly 14, 2025

✔ NPI 1174377949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3333 GLENDALE AVE, Toledo, OH 43614

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mahogany R Idichandy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAMEEZ BHATTI MD

Family Medicine