Raja S Mahidhara in Lafayette - Surgery

Raja S Mahidhara - NPI 1689771016

Raja S Mahidhara is a Surgery in Lafayette, Indiana. Raja S Mahidhara practices all healthcare services and medical treatments related to Surgery. The NPI Number for Raja S Mahidhara is 1689771016. The last update date is 2021-03-11.

Raja S Mahidhara's current location address is 3900 St Francis Way Ste 200, Lafayette, Indiana. You can contact this provider via phone number 7657752800. The mailing address for Raja S Mahidhara is 3900 St Francis Way Ste 200, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Raja S Mahidhara
Address 3900 St Francis Way Ste 200, Lafayette, Indiana
Phone Number 7657752800
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1689771016
Provider Enumeration Date 2006-09-20
Last Updated Date 2021-03-11

Provider Mailing Address Detail

Address 3900 St Francis Way Ste 200
City Lafayette
State Indiana (IN)
Post Code 479054940
Phone Number 7657752800
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 01070300A
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201037400 IN --

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FAQs about Raja S Mahidhara

What is the unique 10-digit identification code assigned to Raja S Mahidhara by the Centers for Medicare & Medicaid Services?

The Raja S Mahidhara has been issued the NPI (National Provider Identifier) 1689771016, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Raja S Mahidhara's physical address?

The Raja S Mahidhara is physically located at 3900 St Francis Way Ste 200, in the city of Lafayette, IN, with the postal code 479054940.

What is Raja S Mahidhara's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Raja S Mahidhara is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1689771016 to Raja S Mahidhara?

The Raja S Mahidhara received its 1689771016 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date was the information pertaining to Raja S Mahidhara, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Raja S Mahidhara, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-11.

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