Individual
DR. AKSHAY KANTILAL MAHADEVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3385 DEXTER CT STE 102, DAVENPORT, IA 52807-3471
(563) 323-1352
(855) 274-1654
Mailing address
3385 DEXTER CT STE 102, DAVENPORT, IA 52807-3471
(563) 323-1352
(855) 274-1654
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036059280
IL
207RP1001X
Pulmonary Disease Physician
Primary
23595
IA
207RP1001X
Pulmonary Disease Physician
51566
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025718
—
IA
01
—
290001149
RAILROAD MEDICARE
IA
01
—
290010032
RAILROAD MEDICARE
IL
Enumeration date
02/17/2006
Last updated
04/09/2021
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