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Individual
VIDYA MAHAVADI
Active
Individual
VIDYA MAHAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-071062
IL
208000000X
Pediatrics Physician
Primary
A188414
CA
Other
Enumeration date
06/20/2017
Last updated
11/25/2024
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