Dr. Shruthi Mahadevaiah
MD | Pediatrics | Female
Dr. Shruthi Mahadevaiah, MD is a Chester, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shruthi Mahadevaiah is
1 Medical Center Blvd, Pob1, Suite402, Chester, Pennsylvania - 19013-3902. She can be contacted on phone at
610-447-6680 and fax number 610-447-6677.
Dr. Shruthi Mahadevaiah is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shruthi Mahadevaiah is
1952549966 which was assigned by NPPES on 29 Jan, 2009 and it was last updated on 02 Oct, 2014.
Dr. Shruthi Mahadevaiah license number is
MT-192401 for Pediatrics (208000000X) in Pennsylvania.
Dr. Shruthi Mahadevaiah is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shruthi Mahadevaiah basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shruthi Mahadevaiah |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Shruthi Mahadevaiah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Medical Center Blvd, Pob1, Suite402
Chester, PA, 19013-3902
United States |
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| Phone Number : | 610-447-6680 |
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| Fax Number : | 610-447-6677 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952549966 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jan, 2009 |
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| Last Updated On : | 02 Oct, 2014 |
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Medicare Participation:
Dr. Shruthi Mahadevaiah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1456571348 |
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| Medicare Enrollment ID : | I20140926001198 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Dr. Shruthi Mahadevaiah accepts medicare insurance. |
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Group Practice Association:
Dr. Shruthi Mahadevaiah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Shruthi Mahadevaiah is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gainesville, FL - 326081532
Ph: 3522658990 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2001 Sw 13th St
Gi Clinic At Endoscopy Center
Gainesville, FL - 326081532
Ph: 3522658982 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd
Gainesville, FL - 326103003 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 1600 Sw Archer Rd Rm
1191 Uf Health Surgical Specialists Shands Hospital
Gainesville, FL - 326103003
Ph: 3522650535 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | 2000 Sw Archer Rd
Uf Health Congenital Heart Center Medical Plaza
Gainesville, FL - 326103003
Ph: 3522658250 | Yes |
| Florida Clinical Practice Association Inc | 0345146254 | 1603 | Uf Health Test Site Pop Up 1600 Sw Archer Rd
Gainesville, FL - 326103003
Ph: 3523921161 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shruthi Mahadevaiah are as mentioned. Primary taxonomy code for Dr. Shruthi Mahadevaiah, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MT-192401 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shruthi Mahadevaiah such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 012489600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Medical Center Blvd, Pob1, Suite402
Chester, PA, 19013-3902
United States |
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| Phone Number : | 610-447-6680 |
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| Fax Number : | 610-447-6677 |
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Business Location:
Patients can refer following map for directions to
Dr. Shruthi Mahadevaiah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.