DR. VENNARALAGAPPAN MAHADEV (NPI# 1720076581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720076581 |
| Entity Type | Individual |
| Full Name | DR. VENNARALAGAPPAN MAHADEV |
| Credential | MD |
| Practice Address |
1721 S Stephenson Ave Iron Mountain MI 49801-3637 |
| Practice Telephone | 9067741313 |
| Mailing Telephone | 9067741313 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
043493 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30416500 | 05 | |
| MI | 2116604 | 05 |
| Street Address |
1721 S STEPHENSON AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199358 | Laura Frances Kent | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2020-09-19 |
| 1497393102 | Amy Lynn Mayes | Dietitian, Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-12-12 |
| 1437794153 | Hospitalist Medicine Physicians of Michigan - Tcs, Pllc | Internal Medicine | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-11-18 |
| 1336790492 | Buck J Darley | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-09-20 |
| 1538713474 | Matthew L Turner | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-07-29 |
| 1720540958 | Sadie Sadlowsky Mcgillviray | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-04-05 |
| 1760954911 | Baycare Clinic, LLP | Neurological Surgery | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1003388216 | Jennifer Morrow | Nurse Anesthetist, Certified Registered | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-12-28 |
| 1750850418 | Edward Robert Mathis | Physical Therapist | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-11-24 |
| 1497245054 | Bellin Health Iron Mountain Inc | General Acute Care Hospital | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1396844700 | Christine Margaret Rattin | Internal Medicine | 1711 S Stephenson Ave, Iron Mountain, MI 49801-3639 | 2006-09-22 |
| 1801831805 | Raymond Aloysius Wood Jr. | Internal Medicine | 325 E H St, Iron Mountain, MI 49801-4760 | 2006-06-17 |
| 1639117799 | Barbara Ann Washington | Internal Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
| Find all providers with the same taxonomy | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on DR. VENNARALAGAPPAN MAHADEV.
| 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.