Tiptur Mahadevaiah, Guruprasad

Tiptur Mahadevaiah, Guruprasad is an individual health care provider with primary practice located at 333 N Santa Rosa , San Antonio TX 78207-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Tiptur Mahadevaiah, Guruprasad can be contacted via phone (210) 704-3030.

Contact Information

Primary practice address
333 N Santa Rosa San Antonio TX 78207-3108
Phone: (210) 704-3030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A152729 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X A152729 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X V1910 Texas
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X V1910 Texas

Profile Details

NPI number 1265769806
LBN Legal business name Tiptur Mahadevaiah, Guruprasad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Jun 11th, 2024 - about 5 months 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 1265769806 NPPES
New Mexico MEDICAID 14901846

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