Individual
MRS. PAVANI MAHADASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 MICHAEL WAY, PENNINGTON, NJ 08534-9606
(609) 737-3811
(609) 737-3080
Mailing address
22 MICHAEL WAY, PENNINGTON, NJ 08534-9606
(609) 737-3811
(609) 737-3080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03118700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1390503
—
NJ
Enumeration date
07/19/2006
Last updated
07/08/2007
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