Mahendru, Vivek

Mahendru, Vivek is an individual health care provider with primary practice located at 4100 Duval Rd Bldg Iii Suite 200, Austin TX 78759-4275. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Mahendru, Vivek can be contacted via phone (512) 485-7200.

Contact Information

Primary practice address
4100 Duval Rd Bldg Iii Suite 200 Austin TX 78759-4275
Fax: (512) 485-7220
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J7566 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X J7566 Texas

Profile Details

NPI number 1316989023
LBN Legal business name Mahendru, Vivek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Oct 26th, 2017 - about 7 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 1316989023 NPPES
Texas Other 84X790 BCBS

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