Individual
DR. KAJAN MAHADEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
LAMONT ST & VETERANS WAY, JAMES H. QUILLEN VA MEDICAL CENTER, JOHNSON CITY, TN 37604
(423) 926-1171
Mailing address
PO BOX 70622, JOHNSON CITY, TN 37614-1709
(423) 439-6283
(423) 439-6386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
65585
TN
Other
Enumeration date
06/25/2019
Last updated
07/11/2022
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