Jambunathan Mahadevan in St Louis - Internal Medicine
Jambunathan Mahadevan - NPI 1669588638
Jambunathan Mahadevan is a Internal Medicine in St Louis, Missouri. Jambunathan Mahadevan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jambunathan Mahadevan is 1669588638. The last update date is 2010-08-05.
Jambunathan Mahadevan's current location address is 3535 S Jefferson Ave, St Louis, Missouri. You can contact this provider via phone number 3148656585 and fax number 3148656599. The mailing address for Jambunathan Mahadevan is 3535 S Jefferson Ave, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jambunathan Mahadevan |
|---|---|
| Address | 3535 S Jefferson Ave, St Louis, Missouri |
| Phone Number | 3148656585 |
| Fax Number | 3148656599 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1669588638 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2010-08-05 |
Provider Mailing Address Detail
| Address | 3535 S Jefferson Ave |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63118 |
| Phone Number | 3148656585 |
| Fax Number | 3148656599 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | R7375 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201582608 | MO | -- | |
| 400415 | MO | UHC | |
| 100656 | MO | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Jambunathan Mahadevan by the Centers for Medicare & Medicaid Services?
The Jambunathan Mahadevan has been assigned the NPI (National Provider Identifier) 1669588638. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jambunathan Mahadevan?
The Jambunathan Mahadevan is situated at 3535 S Jefferson Ave, in the city of St Louis, state of MO, with the zip code 63118.
What is the area of specialization for Jambunathan Mahadevan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jambunathan Mahadevan is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did Jambunathan Mahadevan receive its 1669588638 assignment from the Centers for Medicare & Medicaid Services?
The Jambunathan Mahadevan was assigned its 1669588638 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jambunathan Mahadevan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jambunathan Mahadevan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-08-05.