Mahadevan, Mani S.

Mahadevan, Mani S. is an individual health care provider with primary practice located at 1215 Lee St , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology is his primary health care specialty. Mahadevan, Mani S. can be contacted via phone (888) 882-3990.

Contact Information

Primary practice address
1215 Lee St Charlottesville VA 22908-0001
Phone: (888) 882-3990
Fax: (434) 243-6499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101233476 Virginia
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X 0101233476 Virginia

Profile Details

NPI number 1609996057
LBN Legal business name Mahadevan, Mani S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 1st, 2019 - 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 1609996057 NPPES
Virginia MEDICAID 6608230

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