1659300911 NPI number — PREFERRED HOSPITAL LEASING ELDORADO, INC.

Table of content: ANISH P. MAHAJAN MD (NPI 1679621601)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659300911 NPI number — PREFERRED HOSPITAL LEASING ELDORADO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREFERRED HOSPITAL LEASING ELDORADO, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659300911
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/01/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
102 N US HIGHWAY 277
Provider Second Line Business Mailing Address:
P.O. BOX V
Provider Business Mailing Address City Name:
ELDORADO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76936-4010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
325-853-2507
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 N. NORTH US HIGHWAY 277
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELDORADO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76936-1246
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-853-2507
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FREEMAN
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
405-878-0202

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  008340 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 275N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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