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Dr. Ravilla L Mahidhar, MD
Interventional Cardiology Physician in Everett, Washington
NPI 1134346836

Ravilla L Mahidhar is a Interventional Cardiology Physician based in Portland, WA and is specialized in Interventional Cardiology. Ravilla L Mahidhar practices in Everett, WA and has the professional credentials of MD. The NPI Number for Ravilla L Mahidhar is 1134346836 and holds a License No. D81014 (Washington).

The current practice location address for Ravilla L Mahidhar is 12728 19Th Ave Se Ste 200, Everett, WA and can be reached out via phone at 425-225-2700. You can also correspond with Ravilla L Mahidhar through the mailing address at PO BOX 3360, PORTLAND, OR - 97208-3360 (mailing address contact number: 866-366-2983).

Location: 12728 19Th Ave Se Ste 200, Everett, WA, 97208-3360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134346836
Provider Name
Ravilla L Mahidhar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12728 19Th Ave Se Ste 200, Everett, WA, 97208-3360
Phone Number
425-225-2700
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G8910100 01 WA MEDICARE
AT540010 01 MD BCBS
213409800 05 MD
institution
Provider Business Practice Location Address Details
Address
12728 19Th Ave Se Ste 200
City
Everett
State
Washington
Zip
98208-6526
Phone Number
425-225-2700
Fax Number
person
Provider Business Mailing Address Details
Address
12728 19Th Ave Se Ste 200
City
Everett
State
Washington
Zip
98208-6526
Phone Number
425-225-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
D81014 (Maryland)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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