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Organization
JANARDHANA MAHADEVA
Active
Organization
JANARDHANA MAHADEVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANARDHANA MAHADEVA MD (PRESIDENT)
(607) 746-6467
Entity
Organization
Contact information
Practice address
174 MAIN STREET, DELHI, NY 13753
(607) 746-6467
(607) 746-6465
Mailing address
174 MAIN STREET, DELHI, NY 13753
(607) 746-6467
(607) 746-6465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
121637
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00538629
—
NY
Enumeration date
12/19/2006
Last updated
10/11/2007
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