Individual
DR. ANAND MAHADEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 271-6304
(570) 271-6940
Mailing address
160 E 76TH ST, NEW YORK, NY 10021
(212) 731-6033
(212) 731-5513
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
313639
NY
2085R0001X
Radiation Oncology Physician
MD459457
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032531910002
—
PA
05
—
2015056
—
MA
Enumeration date
11/18/2005
Last updated
03/10/2025
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