VIVAK MAHENDRA MASTER


Address: 4700 Puddledock Rd Ste 400, Prince George, VA 23875-1268
Phone: 8044581740

VIVAK MAHENDRA MASTER (NPI# 1386900397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386900397
Entity Type Individual
Full Name VIVAK MAHENDRA MASTER
Credential M.D.
Practice Address 4700 Puddledock Rd Ste 400
Prince George
VA 23875-1268
Mailing Address 8001 Franklin Farms Dr Rm 130
Richmond
VA 23229-5100
Practice Telephone 8044581740
Practice Fax Number 8045411846
Mailing Telephone 8045215800
Mailing Fax Number 8045454340
Enumeration Date 2012-04-03
Last Update Date 2020-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
0101259987 VA Allopathic & Osteopathic Physicians
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
0101259987 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 4700 PUDDLEDOCK RD STE 400
City PRINCE GEORGE
State VA
Zip Code 23875-1268

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083228902 Lr Counseling Services, LLC Community/Behavioral Health 5000 Owens Way, Apt. 622, Prince George, VA 23875 2020-09-08
1053815423 Yolanda Larrette Hoag Nurse Practitioner 4600 Puddledock Rd, Prince George, VA 23875 2018-03-21
1932534864 Foundation for Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 4301 Montreal Ave., Prince George, VA 23875 2013-09-11
1073889697 Jemina M Liverman Nurse Practitioner 4260 Crossing Blvd, Prince George, VA 23875 2012-03-28
1245412717 Prince George County Public Schools Local Education Agency (LEA) 6410 Courts Drive, Prince George, VA 23875 2007-11-27
1952330193 Commonwealth of Virginia State Board of Health Public Health or Welfare 6459 Administration Dr., Prince George, VA 23875 2006-07-01
1598173155 Divine Spine Chiropractic Chiropractor 4205 Crossings Blvd, Prince George, VA 23875 2014-07-28
1669632782 Ashif K Jethava Internal Medicine 4720 Puddledock Rd, Suite 100b, Prince George, VA 23875 2008-06-12
1043873664 Branbur Dialysis LLC Clinic/Center 4650 Puddledock Rd, Prince George, VA 23875-1235 2019-04-18
1033754874 Jessica M Larche Nurse Practitioner 4600 Puddledock Rd, Prince George, VA 23875-1235 2019-11-15
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154701878 Nmg Affiliate Practice I, LLC Internal Medicine 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 2015-06-08
1497943344 Saumil R Shah Internal Medicine 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225 2007-10-04
1770671711 Sarfraz Durrani Internal Medicine 3020 Hamaker Ct Ste 401, Fairfax, VA 22031-2220 2006-10-11
1376630988 Neoma S George Internal Medicine 4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981 2006-10-06
1205819521 Scott Kaufman Internal Medicine 500 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1929 2005-11-21
1306304217 Virginia Arrhythmia Consultants Pllc Internal Medicine 1001 Boulders Pkwy Ste 110, North Chesterfield, VA 23225-5513 2019-03-10
1356850598 Oliver James Monfredi Internal Medicine 500 Ray C Hunt Dr, Charlottesville, VA 22903-2981 2017-09-20
1104163542 Fairfax Arrhythmia, Pllc Internal Medicine 3020 Hamaker Ct, Suite 401, Fairfax, VA 22031-2238 2013-01-04
1265731491 Stephen Andrew Gaeta Internal Medicine 3020 Hamaker Ct Ste 101, Fairfax, VA 22031-2233 2011-03-28
1396056982 Fort Norfolk Plaza Medical Associates, LLC Internal Medicine 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 2010-06-29
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Competitor

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City PRINCE GEORGE
Zip Code 23875

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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