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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