Mahadevan, Anand

Mahadevan, Anand is an individual health care provider with primary practice located at 1000 E Mountain Dr , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Mahadevan, Anand can be contacted via phone (570) 808-7075.

Contact Information

Primary practice address
1000 E Mountain Dr Wilkes Barre PA 18711-0027
Phone: (570) 808-7075
Fax: (570) 808-6174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 313639 New York
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD459457 Pennsylvania

Profile Details

NPI number 1891777389
LBN Legal business name Mahadevan, Anand
Credentials MBBS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 15th, 2026 - about last week

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891777389 NPPES
Pennsylvania MEDICAID 1032531910002
Pennsylvania MEDICAID 2015056

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