Srikanth Mahavadi (NPI# 1487610341, PAC ID# 9830179126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1487610341 |
PAC ID by PECOS | 9830179126 |
Professional Enrollment ID | I20040726000989 |
Full Name | Srikanth Mahavadi |
Address |
2710 Brook Blvd Quinton VA 23141-1638 |
Gender | M |
Credential | DPM |
Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
Graduation Year | 1996 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490041 | BON SECOURS MARY IMMACULATE HOSPITAL |
490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
490020 | JOHN RANDOLPH MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3660 Boulevard, Suite I, Colonial Heights, VA 23834-1345 | ||
2710 Brook Blvd, Quinton, VA 23141-1638 |
Street Address |
2710 BROOK BLVD |
City | QUINTON |
State | VA |
Zip | 23141-1638 |
Name | Specialty | Organization | Address |
---|---|---|---|
Anup Jagdish Gokli | Family Medicine | Chickahominy Family Practice Inc | 1850 Pocahontas Trail, Quinton, VA 23141 |
Laura A Lavold | Nurse Practitioner | Chickahominy Family Practice Inc | 1850 Pocahontas Trail, Quinton, VA 23141 |
Christina C Wills | Family Practice | Chickahominy Family Practice Inc | 1850 Pocahontas Trail, Quinton, VA 23141 |
City | QUINTON |
Zip Code | 23141 |
Specialty | PODIATRY |
City + Specialty | QUINTON + PODIATRY |
Please comment or provide details below to improve the information on Srikanth Mahavadi.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.