Vijayabhanu Mahadevan M.D.

NPI 1083727333 - Internal Medicine - 207RR0500X

NPI Details
NPI 1083727333
Gender Female
Enumeration Date 08/17/2006
Last Updated 05/17/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
12665 W SMOKEY DR # 140
#140
SURPRISE AZ, 85378-3703, US
Phone (623) 219-4040
Fax (623) 219-4050
Business Location
12665 W SMOKEY DR # 140
#140
SURPRISE AZ, 85378-3703, US
Phone (623) 219-4040
Fax (623) 815-2689
Toxanomy
Taxonomy Code 207RR0500X
License State Virginia
License Number 0101230340
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According to our database, Dr. Vijayabhanu Mahadevan M.D. NPI is 1083727333, taxonomy code is 207RR0500X and license number is 0101230340, license state is located at Virginia. Vijayabhanu Mahadevan M.D. physically located at 12665 W Smokey Dr # 140, Surprise AZ, 85378-3703. NPI Number Vijayabhanu Mahadevan M.D. has the Individual type.

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1083727333 NPI number is provided on an as is basis without warranty of any kind. 1083727333 is maintained by the National Plan & Provider Enumeration System. The contents of Vijayabhanu Mahadevan M.D. are for informational purposes only.