Provider Demographics
NPI:1023364577
Name:MAHESHWARI, SUBANI (MD)
Entity Type:Individual
Prefix:DR
First Name:SUBANI
Middle Name:
Last Name:MAHESHWARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W 14TH STREET
Mailing Address - Street 2:1ST FLOOR, SUITE 1E40
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1013
Mailing Address - Country:US
Mailing Address - Phone:215-955-6610
Mailing Address - Fax:215-503-4053
Practice Address - Street 1:501 W 14TH STREET
Practice Address - Street 2:1ST FLOOR, SUITE 1E40
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1013
Practice Address - Country:US
Practice Address - Phone:302-320-2100
Practice Address - Fax:302-320-2121
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00120842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry