1649446329 NPI number — DR. MAHALAKSHMI VEERA SADHU M.D.

Table of content: DR. MAHALAKSHMI VEERA SADHU M.D. (NPI 1649446329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649446329 NPI number — DR. MAHALAKSHMI VEERA SADHU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SADHU
Provider First Name:
MAHALAKSHMI
Provider Middle Name:
VEERA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KONA
Provider Other First Name:
MAHALAKSHMI
Provider Other Middle Name:
VEERA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649446329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 637676
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-7676
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-282-7911
Provider Business Mailing Address Fax Number:
513-282-7900

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 ARROW SPRINGS BLVD
Provider Second Line Business Practice Location Address:
SUITE 2700
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45036-7002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-282-7911
Provider Business Practice Location Address Fax Number:
513-282-7900
Provider Enumeration Date:
05/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  125-049755 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 35125051 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)