Individual
SHIRISH A MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 HARTNELL AVE, REDDING, CA 96002-1800
(530) 244-2223
(530) 244-4799
Mailing address
PO BOX 993100, REDDING, CA 96099-3100
(530) 244-2223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001999
NY
207RH0003X
Hematology & Oncology Physician
Primary
001999
NY
207RH0003X
Hematology & Oncology Physician
A105218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629237011
—
CA
05
—
GR0054240
—
CA
01
—
P00123926
RAILROAD MEDICARE
NY
Enumeration date
07/07/2006
Last updated
11/14/2008
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