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General NPI Number Information
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NPI Number | 1619037264
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Entity Type | Individual
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Provider Name | RUTA U MAYEKAR MD
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Gender | Female
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 2173 MACDADE BLVD SUITE K/L
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City | HOLMES
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State | PA
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Zip | 19043-1217
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Country | US
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Telephone | 610-461-3530
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Fax | 610-461-3532
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Provider Business Mailing Address
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Address Line | PO BOX 1750 DELCO PSYCHIATRIC ASSOCIATES LLC
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City | CHADDS FORD
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State | PA
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Zip | 19317
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Country | US
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Telephone | 610-461-3530
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Fax | 610-461-3532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD030644E
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License Number State | PA
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