Mahadevan, Daruka

Mahadevan, Daruka is an individual health care provider with primary practice located at 7979 Wurzbach Rd , San Antonio TX 78229-4427. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Mahadevan, Daruka can be contacted via phone (210) 450-1143.

Contact Information

Primary practice address
7979 Wurzbach Rd San Antonio TX 78229-4427
Phone: (210) 450-1143
Fax: (210) 450-0407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 30621 Arizona
Allopathic & Osteopathic Physicians / Hematology 207RH0000X S4811 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X S4811 Texas

Profile Details

NPI number 1841398302
LBN Legal business name Mahadevan, Daruka
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 18th, 2020 - about 5 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 1841398302 NPPES
Texas MEDICAID 408576301
Texas Other 408576302
Texas MEDICAID 721599

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