Master, Vivak Mahendra

Master, Vivak Mahendra is an individual health care provider with primary practice located at 4700 Puddledock Rd Ste 400 , Prince George VA 23875-1268. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Master, Vivak Mahendra can be contacted via phone (804) 458-1740.

Contact Information

Primary practice address
4700 Puddledock Rd Ste 400 Prince George VA 23875-1268
Phone: (804) 458-1740
Fax: (804) 541-1846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101259987 Virginia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 0101259987 Virginia

Profile Details

NPI number 1386900397
LBN Legal business name Master, Vivak Mahendra
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Jul 30th, 2020 - about 4 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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