Individual
DR. MAHENDRA MAHATMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 SIERRA DR, SUITE 170, IRVING, TX 75039-2480
(972) 570-5884
(972) 570-0779
Mailing address
6500 SIERRA DR, SUITE 170, IRVING, TX 75039-2480
(972) 570-5884
(972) 570-0779
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H8739
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098320701
—
TX
Enumeration date
07/17/2006
Last updated
08/18/2011
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