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NPI Code Detail

MEDICARE: DR. YOGESH MARU M.D.

MEDICARE: DR. YOGESH MARU M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD426392PA
22084P0800XPsychiatry Physician2008-00199NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21134198138OTHERNCMEDCOST
31476VOTHERNCBCBS
4562003393019OTHERNCTRICARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134198138
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YOGESH MARU M.D.
Provider Business Mailing Address
First Line : 1100 POWELL ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-3820
Country : US
Telephone Number : 610-277-4600
Fax Number : 610-277-4651
Provider Business Practice Location Address
First Line : 1100 POWELL ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-3820
Country : US
Telephone Number : 610-277-4600
Fax Number : 610-277-4651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 06/02/2009

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