Organization · Type 2 NPI
Srikanth Mahavadi, DPM PC
Podiatric Clinic/Center · Providence Forge, VA
NPI number
1750602389
Active
Practice location
9050 Pocahontas Trail, Suite #F
Providence Forge, VA 23140-0357
Fax (804) 966-8999
Mailing address
PO Box 357
Providence Forge, VA 23140-0357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
Another provider at this address
About NPI 1750602389
Srikanth Mahavadi, DPM PC's National Provider Identifier is 1750602389, issued on Jun 17, 2010. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Providence Forge, VA. The record was last updated on Jun 17, 2010.