Janardhana Mahadeva

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

121637 Issued in NY

Legal business name

JANARDHANA MAHADEVA

Practice address

174 Main Street
Delhi, NY 13753

Phone

(607) 746-6467

Fax

(607) 746-6465

NPI assigned

Dec 19, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janardhana Mahadeva, MD

Title

President

Phone

(607) 746-6467

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1366505372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MAIN STREET",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "13753",
            "telephone_number": "607-746-6467",
            "fax_number": "607-746-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MAIN STREET",
            "city": "DELHI",
            "state": "NY",
            "postal_code": "13753",
            "telephone_number": "607-746-6467",
            "fax_number": "607-746-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANARDHANA MAHADEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "MAHADEVA",
        "authorized_official_first_name": "JANARDHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-746-6467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "121637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00538629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonnie W Hamilton, R.N.
• Seana Haskin
• Shyla Higley, PT, DPT
• Kimberly Huntress
• Stacy Hyduk
• Donna Susan Jones, RN
• Diane Jordan
• Sarah M Karl
• Arden Keller, L.C.S.W.
• Elizabeth Lepinnet Kelly, PT, DPT

• Internal Medicine Physician in Delhi, NY
• Providers in Delhi, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.