Mahadeva LTD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

13648 Issued in NV

Legal business name

MAHADEVA LTD

Practice address

801 E Williams Ave
Fallon, NV 89406-3052

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Aug 29, 2011

Organization subpart

No

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

Authorized official

Name

Lori Labrecque

Title

Accounts MGR

Phone

(702) 453-3799

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1811278393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34028",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334028",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WILLIAMS AVE",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063052",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHADEVA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "LABRECQUE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACCOUNTS MGR",
        "authorized_official_telephone_number": "702-453-3799"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "13648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E Louie, P.T.
• Penni Rae Loveland
• Shannon Luce
• Emily Ludwig
• Kevin Luiz, DPT
• Vidur Siddhanth Mahadeva, M.D.
• Matthew Manalili, PT, DPT
• Michaelia Rae Manzini
• Isaac Mardis
• John C. Marinucci, DDS

• All providers in Fallon, NV
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.