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Individual

MRS. SESHU MAHIDHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
835 HOSPITAL RD, INDIANA, PA 15701-3629
(724) 357-7169
(724) 357-7481
Mailing address
PO BOX 49, PITTSBURGH, PA 15230-0049
(800) 343-7123
(412) 937-5710

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
032788
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09519300
PA
Enumeration date
01/17/2007
Last updated
07/08/2007
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