Physician Compare National (NPI:1922183961)

HEALTHCARE PROVIDER: MOHAN VASANT MAHADKAR M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922183961
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840454658
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120607000073
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAHADKAR
	Individual professional last name
Provider First Name	MOHAN
	Individual professional first name
Provider Middle Name	V
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	OBSTETRICS/GYNECOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8420 86TH RD
	Group Practice or individual's line 1 address
City	WOODHAVEN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	114211225
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7184414986
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y