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Organization
M & H MED HOUSECALLS, LLC
Active
Organization
M & H MED HOUSECALLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAND RAJ MAHADEVAN MD (OWNER)
(239) 772-0111
Entity
Organization
Contact information
Practice address
13607 PINE VILLA LN, FORT MYERS, FL 33912-1617
(239) 772-0111
(239) 772-0267
Mailing address
13607 PINE VILLA LN, FORT MYERS, FL 33912-1617
(239) 772-0111
(239) 772-0267
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
2084P0805X
Geriatric Psychiatry Physician
—
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
FL
363A00000X
Physician Assistant
—
FL
363LA2200X
Adult Health Nurse Practitioner
—
FL
363LG0600X
Gerontology Nurse Practitioner
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/16/2018
Last updated
05/16/2018
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