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Individual

MAHESH BHASKAR SHENAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8081 INNOVATION PARK DR STE 900, FAIRFAX, VA 22031-4867
(571) 472-4100
(571) 472-4101
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101254011
VA
207T00000X
Neurological Surgery Physician
27856
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05101013
MS
01
051119482
BCBS
AL
01
051119483
BCBS
AL
01
051119484
BCBS
AL
01
051119485
BCBS
AL
05
130631
AL
05
130632
AL
05
130634
AL
05
130696
AL
01
Z19096
VIVA
AL
Enumeration date
05/18/2007
Last updated
12/14/2022
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