MR. CHARLES KEITH MAHAN IDC
NPI 1659529964
Military Health Care Provider - Independent Duty Corpsman in Norfolk, VA

Q: What is Charles Mahan's NPI number?

The NPI number for Charles Mahan is 1659529964. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Q: What is Charles Mahan's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mahan was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 29, 2008

2600 TARAWA CT, NORFOLK, VA 23521(757) 462-5544 Get Directions Write a Review

NPPES record last updated: August 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Charles Keith Mahan Idc NPPES

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

MR. CHARLES KEITH MAHAN IDC (NPI 1659529964) is an individual independent duty corpsman provider in Norfolk, Virginia and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1659529964

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. CHARLES KEITH MAHANCredential: IDC

Location Address2600 TARAWA CTNorfolk, VA 23521-3235

Mailing Address2600 Tarawa CtNorfolk, VA 23521-3235 · (757) 462-5544

Phone(757) 462-5544

Sole ProprietorNo

Enumeration DateAugust 29, 2008

✔ NPI 1659529964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

2600 TARAWA CT, Norfolk, VA 23521

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Other Providers at the Same Location NPPES 2

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

MICHAEL ROUSH

Military Health Care Provider (Independent Duty Corpsman)

2600 TARAWA CT
NORFOLK, VA 23521

Norfolk City (757) 462-4554

MR. JAMES KOFI OSEI IDC

Military Health Care Provider (Independent Duty Corpsman)

2600 TARAWA CT, BLDG 1602, PC CREW BRAVO
NORFOLK, VA 23521

Norfolk City (757) 462-5533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mahan's NPI number?

The NPI number for Charles Mahan is 1659529964. It was assigned to this individual provider in the NPPES registry on August 29, 2008.

Where is Charles Mahan located?

Charles Mahan practices at 2600 Tarawa Ct, Norfolk, VA 23521. The listed phone number is (757) 462-5544.

What is Charles Mahan's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Charles Mahan was last updated on August 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.