Whalio Doctors

NPI 1689771016

Raja S Mahidhara, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Lafayette, IN

Practice location

Address
3900 St Francis Way STE 200, Lafayette, IN 47905-4940
Phone
(765) 775-2800
Mailing address
PO Box 781076, Detroit, MI 48278-1076

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 01070300A (IN)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 01070300A (IN)

Registry record

NPI
1689771016
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Sep 2006
Record last updated
11 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.