Organization
DR MAHADEV MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIGANGAIAH MAHADEV MD (MD)
(714) 998-1941
Entity
Organization
Contact information
Practice address
125 CHAPARRAL COURT, SUITE 102, ANAHEIM HILLS, CA 92808
(714) 998-1941
(714) 998-3472
Mailing address
125 CHAPARRAL COURT, SUITE 102, ANAHEIM HILLS, CA 92808
(714) 998-1941
(714) 998-3472
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A451091
—
CA
Enumeration date
09/14/2006
Last updated
08/22/2020
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