Individual
VASUDHA MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
6411 VETERANS MEMORIAL PKWY STE 200, CRESTWOOD, KY 40014-8698
(502) 394-6555
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55015
KY
208000000X
Pediatrics Physician
BP1-0050285
TX
Other
Enumeration date
07/11/2014
Last updated
09/02/2021
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