Mahadeo, Robby
Mahadeo, Robby is an individual health care provider with primary practice located at 12910 Liberty Ave , Richmond Hill NY 11419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mahadeo, Robby can be contacted via phone (718) 322-1111.Contact Information
Primary practice address
12910 Liberty Ave
Richmond Hill NY 11419
Phone: (718) 322-1111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 188842 | New York |
Profile Details
| NPI number | 1407996135 |
|---|---|
| LBN Legal business name | Mahadeo, Robby |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Sep 26th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407996135 | NPPES |
| New York | MEDICAID | D1600619 |
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