Provider Demographics
NPI:1447578133
Name:PALADUGU, MAHESH (RPH)
Entity Type:Individual
Prefix:MR
First Name:MAHESH
Middle Name:
Last Name:PALADUGU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1727 W LIBERTY ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5027
Mailing Address - Country:US
Mailing Address - Phone:610-351-2273
Mailing Address - Fax:610-351-2274
Practice Address - Street 1:1727 W LIBERTY ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5027
Practice Address - Country:US
Practice Address - Phone:610-351-2273
Practice Address - Fax:610-351-2274
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-05
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441400183500000X
NJ28RI03254700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist