DR. PANKAJAM V MAHADEVAN (NPI# 1891843132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891843132 |
| Entity Type | Individual |
| Full Name | DR. PANKAJAM V MAHADEVAN |
| Credential | M.D |
| Practice Address |
5151 Plank Rd Suite Number 38 Baton Rouge LA 70805-3501 |
| Mailing Address |
12074 Newcastle Ave Apt 1211 Baton Rouge LA 70816-8998 |
| Practice Telephone | 2253562006 |
| Practice Fax Number | 2253551144 |
| Mailing Telephone | 2252934478 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD025141 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1537691 | 05 |
| Street Address |
5151 PLANK RD SUITE NUMBER 38 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70805-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790226967 | Children's International, LLC | Clinic/Center | 5151 Plank Rd, Baton Rouge, LA 70805-3501 | 2017-03-20 |
| 1447564810 | Ryan Shinska | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2010-07-28 |
| 1689992554 | Clare Maddox Berthelot | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2010-05-17 |
| 1013143031 | Billy George Hall Jr. | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2009-06-04 |
| 1669628210 | Anne Robert Sommers | Dentist | 5151 Plank Rd, Suite 28, Baton Rouge, LA 70805-3501 | 2008-08-14 |
| 1356507040 | Acadia Health LLC | Dentist | 5151 Plank Rd, Baton Rouge, LA 70805-3501 | 2008-08-01 |
| 1740447424 | Affordable Dental Care | Dentist | 5151 Plank Rd, Ste 17-a, Baton Rouge, LA 70805 | 2008-05-20 |
| 1932311735 | Diana Marie Lebreton | Optometrist | 5151 Plank Rd, Suite 15, Baton Rouge, LA 70805-3501 | 2007-05-04 |
| 1992830350 | Leroy W Koschel | Dentist | 5151 Plank Rd, Suite. 17-a, Baton Rouge, LA 70805-3501 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306481445 | Upgrade Group Home LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3719 Katherine Ave, 3719 Katherine Ave, Baton Rouge, LA 70805 | 2019-11-13 |
| 1164991899 | Hip Hop Barbers, LLC | Specialist | 5709 Hollywood Crossover St, Baton Rouge, LA 70805 | 2018-11-26 |
| 1093234783 | Omar Feme Braggs I | Counselor | 3973 Choctaw Drive, Baton Rouge, LA 70805 | 2017-09-13 |
| 1558883116 | Jeffrey Williams | Counselor | 3456 Eaton Street, Baton Rouge, LA 70805 | 2017-07-14 |
| 1215466628 | Angel Danielle Morgan | Counselor | 3540 Ontario St., Baton Rouge, LA 70805 | 2017-06-08 |
| 1376904151 | Mama's Medical Transportation | Non-emergency Medical Transport (VAN) | 2727 North Ardenwood Dr., Baton Rouge, LA 70805 | 2016-03-08 |
| 1013389105 | Tiffany Thomas | Counselor | 8325 Kelwood Avenue, Baton Rouge, LA 70805 | 2015-10-28 |
| 1366823395 | Travia Linette Washington | Community Health Worker | 2959 Sherwood St, Baton Rouge, LA 70805 | 2015-06-16 |
| 1295000164 | Capital Area Human Services District | Substance Abuse Rehabilitation Facility | 2455 Wooddale Blvd., Baton Rouge, LA 70805 | 2012-03-12 |
| 1427332238 | Carl P Thibodeaux | Pharmacist | 5889 Airline Highway, Baton Rouge, LA 70805 | 2011-09-29 |
| Find all providers in zip 70805 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632728 | Megan Michel Rabalais | Pediatrics | 7777 Hennessy Blvd # 6004, Baton Rouge, LA 70808-4300 | 2018-06-11 |
| 1457873572 | All Hours Pediatrics | Pediatrics | 2645 Oneal Ln Bldg C-a, Baton Rouge, LA 70816-3179 | 2017-07-11 |
| 1881122778 | Uchechukwu Ray Eke | Pediatrics | 7777 Hennessy Blvd Ste 6004, Baton Rouge, LA 70808-4300 | 2017-05-23 |
| 1679007298 | Melissa Holland | Pediatrics | 8415 Goodwood Blvd Ste 100, Baton Rouge, LA 70806-7851 | 2017-04-20 |
| 1336535525 | Kathryn Neupert | Pediatrics | 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809-3481 | 2015-04-14 |
| 1184035362 | Ashley Rawson | Pediatrics | 8200 Constantin Blvd Fl 4, Baton Rouge, LA 70809-3481 | 2014-05-10 |
| 1164787321 | Reuben Oneal Battley | Pediatrics | 8415 Goodwood Blvd Ste 202, Baton Rouge, LA 70806 | 2012-07-12 |
| 1568632099 | Larry J Hebert | Pediatrics | 8123 Cypress Lake Dr, Baton Rouge, LA 70809-1776 | 2008-03-12 |
| 1205006111 | Melissa Haggerty Roy | Pediatrics | 7777 Hennessy Blvd Ste 103, Baton Rouge, LA 70808-4363 | 2008-03-06 |
| 1467645465 | Contemporary Footsteps, L.L.C. | Pediatrics | 606 Colonial Dr, Suite A, Baton Rouge, LA 70806-6535 | 2007-08-22 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70805 |
Please comment or provide details below to improve the information on DR. PANKAJAM V MAHADEVAN.
| 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.