Vijaykanth Mahendrakar, M.D.
Family Medicine in El Centro, CA. Individual provider (NPI-1).
NPI number1417398728
StatusActive
Last updated in NPPESDec 20, 2024
Details
- NPI
- 1417398728
- Entity type
- Individual (NPI-1)
- Name
- Vijaykanth Mahendrakar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2013
- Certification date
- Feb 15, 2021
- Last updated
- Dec 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A139559 | CA | Yes |
Practice location
1600 South Imperial AvenueSuite 3
El Centro, CA 92243
Phone 760-339-2802
Mailing address
1600 South Imperial AvenueSuite 3
El Centro, CA 92243
Phone 760-339-2802
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