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General NPI Number Information
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NPI Number | 1154456291
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Entity Type | Organization
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Legal Business Name | MAHADEV RX CORPORATION
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 777 WASHINGTON RD
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City | PARLIN
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State | NJ
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Zip | 08859-1074
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Country | US
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Telephone | 732-238-4022
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Fax | 732-238-5921
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Provider Business Mailing Address
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Address Line | 777 WASHINGTON RD
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City | PARLIN
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State | NJ
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Zip | 08859-1074
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Country | US
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Telephone | 732-238-4022
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Fax | 732-238-5921
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Authorized Official
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Title or Position | OFFICER
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Name | RAVI SHINGALA
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Credential |
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Telephone | 732-238-4022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 28RS00389900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00389900
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License Number State | NJ
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