| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AVANIKA SELECT... MAHAJAN | 1215668421 | 2022-06-20 |
Avanika Select... Mahajan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1215668421. Registration indicates Avanika Select... Mahajan is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Avanika Select... Mahajan MD |
| Practice Office Address | 13400 E SHEA BLVD SCOTTSDALE, AZ US |
| Practice Office Telephone | 4803018000 |
| Mailing Address | 13400 E SHEA BLVD SCOTTSDALE, AZ 852595452 US |
| Business Telephone | 4803018000 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | R79403
FL |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |