Organization
PULMONARY ASSOCIATES OF QC PC
Active
Organization
PULMONARY ASSOCIATES OF QC PC
Active
Other names
Mahadevia Sleep Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKSHAY MAHADEVIA MD (PRESIDENT)
(563) 323-1352
Entity
Organization
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
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138016
—
IA
01
—
CE8561
RAILROAD MEDICARE
IL
01
—
DB8111
RAILROAD MEDICARE
IA
Enumeration date
02/17/2006
Last updated
06/02/2021
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