Organization Active NPI

Srikanth Mahavadi

  • Foot Surgery Podiatrist
  • Providence Forge, VA
National Provider Identifier
1740411925
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
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

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Srikanth MahavadiNPI 1487610341
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)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
009201429MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Srikanth Mahavadi2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.