Organization
MAHI PEDIATRICS PC
Active
Parent organization
MAHI PEDIATRICS PC
Other names
Pediatrickare Urgent Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAHI PEDIATRICS PC
Authorized official
UMA KANIKICHARLA MD (CEO)
(973) 589-7337
Entity
Organization
Contact information
Practice address
41 WILSON AVE, SUITE 2D, NEWARK, NJ 07105
(973) 589-7337
(973) 589-1905
Mailing address
41 WILSON AVE, SUITE 2D, NEWARK, NJ 07105
(973) 589-7337
(973) 589-1905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60090050
—
NJ
Enumeration date
09/17/2021
Last updated
09/17/2021
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