Individual provider · Type 1 NPI
Srikanth Mahavadi, DPM
Foot Surgery Podiatrist · Providence Forge, VA
NPI number
1487610341
Active
Practice location
9050 Pocahontas Trl, STE#F
Providence Forge, VA 23140-3400
Fax (804) 966-8999
Mailing address
PO Box 357
Providence Forge, VA 23140-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 0103001025 (VA) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1487610341
Srikanth Mahavadi, DPM's National Provider Identifier is 1487610341, issued on Apr 20, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Providence Forge, VA. The record was last updated on Jul 8, 2007.