Mahendra, Tom

Mahendra, Tom is an individual health care provider with primary practice located at 1331 W Avenue J Suite 203, Lancaster CA 93534-2942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mahendra, Tom can be contacted via phone (661) 945-4433.

Contact Information

Primary practice address
1331 W Avenue J Suite 203 Lancaster CA 93534-2942
Phone: (661) 945-4433
Fax: (661) 940-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A35504 California

Profile Details

NPI number 1205923646
LBN Legal business name Mahendra, Tom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 3rd, 2012 - 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 1205923646 NPPES
California MEDICAID GR0091800

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