Mahendra M Pujara

LBN: Mahendra M Pujara
Mahendra M Pujara is an health care organization with primary practice located at 1630 Mount Hope Ave , Pottsville PA 17901-1337. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mahendra M Pujara can be contacted via phone (570) 622-1553, or through Pauly, Jarret via phone (570) 622-1553.

Contact Information

Primary practice address
1630 Mount Hope Ave Pottsville PA 17901-1337
Phone: (570) 622-1553
Fax: (570) 622-3531
Website:
Map and Directions
Authorized official contact:
Name: Pauly, Jarret
Phone: (570) 622-1553

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD03778OL Pennsylvania

Profile Details

NPI number 1104368034
LBN Legal business name Mahendra M Pujara
DBA Doing business as
Authorized official Pauly, Jarret
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2016
Last updated Nov 9th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104368034 NPPES
Pennsylvania MEDICAID 0008314950001

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