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General NPI Number Information
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NPI Number | 1740326842
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Entity Type | Organization
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Legal Business Name | MAHAWAR MEDICAL CENTER INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3550 MOWRY AVE SUITE 101
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City | FREMONT
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State | CA
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Zip | 94538-1460
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Country | US
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Telephone | 510-797-5500
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Fax | 510-797-5507
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Provider Business Mailing Address
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Address Line | 3550 MOWRY AVE SUITE 101
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City | FREMONT
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State | CA
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Zip | 94538-1460
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Country | US
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Telephone | 510-797-5500
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Fax | 510-797-5507
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SURESH MAHAWAR
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Credential | MD
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Telephone | 510-797-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A535880
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | A353880
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License Number State | CA
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