SRIKANTH MAHAVADI, DPM PC (NPI# 1750602389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750602389 |
| Entity Type | Organization |
| Organization Name | SRIKANTH MAHAVADI, DPM PC |
| Practice Address |
9050 Pocahontas Trail Suite #f Providence Forge VA 23140-0357 |
| Mailing Address |
Po Box 357 Providence Forge VA 23140-0357 |
| Practice Telephone | 8049668350 |
| Practice Fax Number | 8049668999 |
| Mailing Telephone | 8049668350 |
| Mailing Fax Number | 8059668999 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | DR. SRIKANTH MAHAVADI (PRESIDENT) |
| Authorized Official Telephone | 8049668350 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 009301429 | 05 |
| Street Address |
9050 POCAHONTAS TRAIL SUITE #F |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip Code | 23140-0357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538329339 | Aravind Kumar Reddy Kasireddy | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2008-06-15 |
| 1538343207 | Wendy Dickerson | Social Worker | 9403 A Pocahantas Trail, Providence Forge, VA 23140 | 2007-12-18 |
| 1528287463 | Randall Stephen Rosemond | Dentist | 3521 N Courthouse Road, Providence Forge, VA 23140 | 2007-04-25 |
| 1295879963 | Kim R Mcfadden | Physician Assistant | 9010 Pocahontas Trail, Providence Forge, VA 23140 | 2007-02-16 |
| 1326189226 | Andrea Michelle Johnson | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-12 |
| 1104902477 | Kent Paul Radwani | Social Worker | 9403 Pocohontas Trail, Providence Forge, VA 23140 | 2006-10-30 |
| 1609399419 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2017-07-24 |
| 1326330085 | Jennifer Munn | Pharmacist | 9100 Pocahontas Trail, Providence Forge, VA 23140 | 2011-05-12 |
| 1366587396 | Janice V. Atwell | Social Worker | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-20 |
| 1437292455 | Clarice U. Baugh | Registered Nurse | 9403 Pocohantas Trail, Providence Forge, VA 23140 | 2007-02-15 |
| Find all providers in zip 23140 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558919134 | Privia Medical Group, LLC | Clinic/Center | 104a E Broad St Ste A, Falls Church, VA 22046-4501 | 2019-08-28 |
| 1023473139 | Mobile Podiatry | Clinic/Center | 704 Windy Way, Unit 206, Newport News, VA 23602-5698 | 2015-12-17 |
| 1427473206 | Craig A Wilhelms, Dpm, PC | Clinic/Center | 2149 Electric Rd Ste 5, Roanoke, VA 24018-1975 | 2014-03-03 |
| 1144593948 | Augusta Podiatric Medicine & Surgery Inc. | Clinic/Center | 100 Mactanly Pl, Suite A, Staunton, VA 24401-2383 | 2012-02-10 |
| 1730413584 | Desiree Mary Reyes | Clinic/Center | 704 Windy Way 206, Newport News, VA 23602-5698 | 2009-09-28 |
| 1053522748 | Rebecca A Metz Dpm PC | Clinic/Center | 932 Edwards Ferry Rd, Suite 105, Leesburg, VA 20176 | 2007-05-24 |
| 1821084872 | Dr N Hines & T Fahy | Clinic/Center | 301 Maple Ave W, Building 3 Ste F6, Vienna, VA 22180-4301 | 2005-09-26 |
| 1770112518 | Wehman Foot and Ankle LLC | Clinic/Center | 5700 Old Richmond Ave Ste E24, Richmond, VA 23226-1828 | 2020-04-03 |
| 1295061851 | Holmes & Guy Podiatrists, P C | Clinic/Center | 1700 Rosedale Ct, Woodbridge, VA 22191-3016 | 2009-11-02 |
| 1861628596 | Steven E. Lipson, Dpm | Clinic/Center | 8206 Leesburg Pike, Suite 401, Vienna, VA 22182-2614 | 2009-06-09 |
| Find all providers with the same taxonomy | ||||
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
Please comment or provide details below to improve the information on SRIKANTH MAHAVADI, DPM PC.
| 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.