Koppikar, Mahesh M

Koppikar, Mahesh M is an individual health care provider with primary practice located at 1035 Cup Leaf Holly Ct , Great Falls VA 22066-1218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Koppikar, Mahesh M can be contacted via phone (703) 406-9794.

Contact Information

Primary practice address
1035 Cup Leaf Holly Ct Great Falls VA 22066-1218
Phone: (703) 406-9794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 13540 West Virginia

Profile Details

NPI number 1609955491
LBN Legal business name Koppikar, Mahesh M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Oct 5th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609955491 NPPES
Kentucky MEDICAID 64033962
Kentucky MEDICAID 0123643000

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