Individual provider · Type 1 NPI
Marigangaiah Mahadev, MD
Adult Medicine Physician · Anaheim Hills, CA
NPI number
1245264902
Active
Practice location
125 Chaparral Court, Suite 102
Anaheim Hills, CA 92808
Fax (714) 998-3472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | A45109 (CA) |
| Adult Medicine Physician Primary | 207QA0505X | A45109 (CA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1245264902
Marigangaiah Mahadev, MD's National Provider Identifier is 1245264902, issued on Jul 10, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Anaheim Hills, CA. The record was last updated on Dec 13, 2011.