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NPI Code Detail

MEDICARE: RADHA K MAHAJAN MD INC

MEDICARE: RADHA K MAHAJAN MD INC
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
1261QU0200XUrgent Care Clinic/CenterMD020142EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295148112
Entity Type Code : Organization
Provider Name (Legal Business Name) : RADHA K MAHAJAN MD INC
Provider Business Mailing Address
First Line : 2521 W MAIN ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number :
Provider Business Practice Location Address
First Line : 2521 W MAIN ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. RADHA K. MAHAJAN
Credential : MD.
Telephone Number : 610-539-3221
Provider Enumeration Date : 06/09/2014
Last Update Date : 06/09/2014

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