Mahadevaiah, Shruthi
Mahadevaiah, Shruthi is an individual health care provider with primary practice located at 1 Medical Center Blvd Pob1, Suite402, Chester PA 19013-3902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mahadevaiah, Shruthi can be contacted via phone (610) 447-6680.Contact Information
Primary practice address
1 Medical Center Blvd Pob1, Suite402
Chester PA 19013-3902
Phone: (610) 447-6680
Fax: (610) 447-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MT-192401 | Pennsylvania |
Profile Details
| NPI number | 1952549966 |
|---|---|
| LBN Legal business name | Mahadevaiah, Shruthi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2009 |
| Last updated | Oct 2nd, 2014 - about 10 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 | 1952549966 | NPPES |
| Florida | MEDICAID | 012489600 |
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