Mahadev, Marigangaiah

Mahadev, Marigangaiah is an sole proprietor health care provider with primary practice located at 125 Chaparral Court Suite 102, Anaheim Hills CA 92808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Mahadev, Marigangaiah can be contacted via phone (714) 998-1941.

Contact Information

Primary practice address
125 Chaparral Court Suite 102 Anaheim Hills CA 92808
Phone: (714) 998-1941
Fax: (714) 998-3472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A45109 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A45109 California

Profile Details

NPI number 1245264902
LBN Legal business name Mahadev, Marigangaiah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Dec 13th, 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 1245264902 NPPES
California MEDICAID 00A451091

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