Provider Demographics
NPI:1588007736
Name:WORKMAN, PRITHA MAHADEVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PRITHA
Middle Name:MAHADEVAN
Last Name:WORKMAN
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:KAISER PERMANENT SPRINGFIELD
Mailing Address - Street 2:6501 LOISDALE COURT
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150
Mailing Address - Country:US
Mailing Address - Phone:703-359-7878
Mailing Address - Fax:
Practice Address - Street 1:200 W ARBOR DR # MC8433
Practice Address - Street 2:UCSD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1911
Practice Address - Country:US
Practice Address - Phone:618-543-6922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program