Individual
DR. SHRUTHI MAHADEVAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, POB1, SUITE402, CHESTER, PA 19013-3902
(610) 447-6680
(610) 447-6677
Mailing address
1 MEDICAL CENTER BLVD, POB1, SUITE402, CHESTER, PA 19013-3902
(610) 447-6680
(610) 447-6677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT-192401
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012489600
—
FL
Enumeration date
01/29/2009
Last updated
10/02/2014
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