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DEEPAK S. MAHAJAN PHYSICIAN P.C NPI 1376567925


NPI Information

NPI: 1376567925
Provider Name: DEEPAK S. MAHAJAN PHYSICIAN P.C
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
8675 MIDLAND PKWY
SUITE 2
JAMAICA, NY
ZIP 11432
Phone: (718) 523-2177
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DEEPAK S. MAHAJAN PHYSICIAN P.C is a gastroenterology internal medicine in Jamaica, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DEEPAK S. MAHAJAN PHYSICIAN P.C NPI is 1376567925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8675 MIDLAND PKWY
SUITE 2
JAMAICA, NY
ZIP 11432-058
Phone: (718) 523-2177
Fax: (718) 523-2133

The provider's authorized official is Sucheta D Mahajan .
The authorized official title is Attending and has the following contact phone number (516) 627-4577.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 12/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterology238466NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11724S1MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2I47095MEDICARE UPINNEW YORK
302752674MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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