Active NPI
Srikanth Mahavadi
- Foot Surgery Podiatrist
- Providence Forge, VA
National Provider Identifier
1740411925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- Legal business name
- SRIKANTH MAHAVADI
- Practice address
- 9050 Pocahontas Trail
Suite F
Providence Forge, VA 23140 - Phone
- (804) 966-8350
- NPI assigned
- Aug 5, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Srikanth Mahavadi
- Title
- Owner
- Phone
- (804) 829-8999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | Primary |
Addresses
Primary practice location
9050 Pocahontas Trail
Suite F
Providence Forge, VA 23140
Mailing address
PO Box 357
Providence Forge, VA 23140-0357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009201429 | Medicaid | VA |
National Provider Directory
National Provider Directory- Tax ID family
- Srikanth Mahavadi
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Podiatric Clinic/Center
- Providence Forge, VA
- NPI 1750602389
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot Surgery Podiatrist
- Providence Forge, VA
- NPI 1487610341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264550400000",
"number": "1740411925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 357",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "231400357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 POCAHONTAS TRAIL",
"address_2": "SUITE F",
"city": "PROVIDENCE FORGE",
"state": "VA",
"postal_code": "23140",
"telephone_number": "804-966-8350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRIKANTH MAHAVADI",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-05",
"last_updated": "2010-01-27",
"status": "A",
"authorized_official_last_name": "MAHAVADI",
"authorized_official_first_name": "SRIKANTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-829-8999"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009201429",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence Forge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.