| NPI | 1275633869 | 
|---|---|
| Former Name | SHUBHA MAHADEVAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A81348)  | 
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: OR MD26944)  | 
| Enumeration Date | 2006-09-23 | 
| Last Update Date | 2011-11-08 |