Mahadev, Vennaralagappan
Mahadev, Vennaralagappan is an sole proprietor health care provider with primary practice located at 1721 S Stephenson Ave , Iron Mountain MI 49801-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mahadev, Vennaralagappan can be contacted via phone (906) 774-1313.Contact Information
Primary practice address
1721 S Stephenson Ave
Iron Mountain MI 49801-3637
Phone: (906) 774-1313
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 043493 | Michigan |
Profile Details
| NPI number | 1720076581 |
|---|---|
| LBN Legal business name | Mahadev, Vennaralagappan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jan 15th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720076581 | NPPES |
| Wisconsin | MEDICAID | 30416500 | |
| Wisconsin | MEDICAID | 2116604 |
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