Srikanth Mahavadi, Dpm Pc

LBN: Srikanth Mahavadi, Dpm Pc
Srikanth Mahavadi, Dpm Pc is an health care organization with primary practice located at 9050 Pocahontas Trail Suite #F, Providence Forge VA 23140-0357. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. Srikanth Mahavadi, Dpm Pc can be contacted via phone (804) 966-8350, or through Mahavadi, Srikanth via phone (804) 966-8350.

Contact Information

Primary practice address
9050 Pocahontas Trail Suite #F Providence Forge VA 23140-0357
Fax: (804) 966-8999
Website:
Authorized official contact:
Name: Mahavadi, Srikanth Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X

Profile Details

NPI number 1750602389
LBN Legal business name Srikanth Mahavadi, Dpm Pc
DBA Doing business as
Authorized official Mahavadi, Srikanth Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2010
Last updated Jun 17th, 2010 - about 15 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 1750602389 NPPES
Virginia MEDICAID 009301429

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