Individual
TOM MAHENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 W AVENUE J, SUITE 203, LANCASTER, CA 93534-2942
(661) 945-4433
(661) 940-0206
Mailing address
1331 W AVENUE J, SUITE 203, LANCASTER, CA 93534-2942
(661) 945-4433
(661) 940-0206
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A35504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091800
—
CA
Enumeration date
10/06/2006
Last updated
01/03/2012
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