Individual
HARIHARA IYER MAHADEVAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 EMANCIPATION DR, IMAGING SVC 114 VA MEDICAL CENTER, HAMPTON, VA 23667
(757) 722-9961
(757) 728-3471
Mailing address
100 EMANCIPATION DR, IMAGING SVC 114 VA MEDICAL CENTER, HAMPTON, VA 23667
(757) 722-9961
(757) 728-3471
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101028395
VA
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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