ANAND RAJ MAHADEVAN (NPI# 1245238245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245238245 |
| Entity Type | Individual |
| Full Name | ANAND RAJ MAHADEVAN |
| Credential | MD |
| Practice Address |
13607 Pine Villa Ln Fort Myers FL 33912-1617 |
| Practice Telephone | 2398877372 |
| Mailing Telephone | 2398877372 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2014-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME86995 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269969900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891777389 | Anand Mahadevan | Radiology | 100 N Academy Ave, Danville, PA 17822 | 2005-11-18 |
| Street Address |
13607 PINE VILLA LN |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33912-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427548304 | M & H Med Housecalls, LLC | Family Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2018-05-16 |
| 1578823654 | Patrick Marshall Matt | Internal Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2012-05-22 |
| 1962528885 | Aneeta P Samuel | Internal Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2007-03-22 |
| 1336209790 | Cape Coral Hospitalists Inc | Internal Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2006-12-08 |
| 1932293883 | Keri Lyn Mason | Internal Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2006-10-03 |
| 1609885722 | Natalya Suchodolski | Internal Medicine | 13607 Pine Villa Ln, Fort Myers, FL 33912-1617 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684814 | Performance Health Surgery Center | Clinic/Center | 9500 Gulf Research Lane, Fort Myers, FL 33912 | 2019-02-06 |
| 1609351899 | Voa Lee County Health Care Facility, Inc. | Skilled Nursing Facility | 14750 Hope Center Loop, Ft. Myers, FL 33912 | 2018-10-03 |
| 1245719954 | Lauren Grimes | Pharmacist | 13711 S Tamiami Trail, Fort Myers, FL 33912 | 2018-08-13 |
| 1972080828 | Solaris Rehab, LLC | Clinic/Center | 14001 Metro Parkway, Fort Myers, FL 33912 | 2018-07-24 |
| 1467943803 | Marie Veronica Scott | Nurse Practitioner | 14015 Danpak Loop, Fort Myers, FL 33912 | 2018-05-22 |
| 1952892291 | Daniels Modern Dentistry, Pa | Dentist | 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 | 2018-05-22 |
| 1295258994 | Julie Ann Jakobi | Counselor | 18 Quanery Court, Fort Myers, FL 33912 | 2017-07-25 |
| 1205359908 | Maria Reyes | Developmental Therapist | 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 | 2017-07-25 |
| 1669919288 | Darinka Ruiz | Social Worker | 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 | 2017-01-20 |
| 1730622598 | Valerie Starnes | Nurse Practitioner | 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 | 2016-11-28 |
| Find all providers in zip 33912 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423862 | Lee Senior Services, LLC | Internal Medicine | 4100 Center Pointe Dr Ste 111&112, Fort Myers, FL 33916-9460 | 2020-10-06 |
| 1396366985 | Tritel Concierge Medicine LLC | Internal Medicine | 6846 International Center Blvd Ste A, Fort Myers, FL 33912-7155 | 2020-05-05 |
| 1861031015 | Priority Health Medical Center | Internal Medicine | 3660 Central Ave Ste 6, Fort Myers, FL 33901-7647 | 2020-01-04 |
| 1609334796 | Rifmetic | Internal Medicine | 3910 Williamson Rd, Fort Myers, FL 33905-6208 | 2019-03-07 |
| 1215309331 | Axel1 Health LLC | Internal Medicine | 4820 Griffin Blvd, Fort Myers, FL 33908-2016 | 2015-10-28 |
| 1518337492 | Barry K Butler P.a. | Internal Medicine | 10708 Bradbury Way, Fort Myers, FL 33913 | 2015-10-05 |
| 1639548225 | Colonia Medical Specialty Group | Internal Medicine | 4531 Deleon St Ste 207, Fort Myers, FL 33907-1280 | 2015-09-24 |
| 1659756476 | Sean Hess | Internal Medicine | 9671 Gladiolus Dr Ste 104, Fort Myers, FL 33908-7684 | 2015-07-22 |
| 1114326774 | Quiles Cruz Medical Services Pa | Internal Medicine | 8112 Felisa Ct, Fort Myers, FL 33912-8951 | 2014-08-20 |
| 1144589854 | Seth William Jelinek | Internal Medicine | 13861 Plantation Rd Ste 104, Fort Myers, FL 33912-4342 | 2012-05-15 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33912 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.