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NPI Profile for MARIGANGAIAH MAHADEV in ANAHEIM HILLS, CA.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Pediatrics |
208000000X | 37 | Physician/Pediatric Medicine |
| NPI Number | 1245264902 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 07/10/2006 | |
| Last updated | 12/13/2011 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARIGANGAIAH MAHADEV
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MARIGANGAIAH MAHADEV, MD