Provider Demographics
NPI:1598774689
Name:MAYEKAR, ULHAS (MD)
Entity Type:Individual
Prefix:
First Name:ULHAS
Middle Name:
Last Name:MAYEKAR
Suffix:
Gender:M
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:PO BOX 1750
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-0716
Mailing Address - Country:US
Mailing Address - Phone:610-461-3530
Mailing Address - Fax:
Practice Address - Street 1:2173 MACDADE BOULEVARD
Practice Address - Street 2:SUITE K
Practice Address - City:HOLMES
Practice Address - State:PA
Practice Address - Zip Code:19043-1217
Practice Address - Country:US
Practice Address - Phone:610-461-3530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030617E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
462581OtherBLUE CROSS BLUE SHIELD
PA0010082280013Medicaid
PA0026321000OtherPERSONAL CHOICE
118692OtherTRICARE
118692OtherMENTAL HEALTH NETWORK
PA0010082280014OtherMEDICAL ASSISTANCE
PA460387000OtherMIS
260046525Medicare PIN
P00623105Medicare PIN
PA0026321000OtherPERSONAL CHOICE
PA0010082280014OtherMEDICAL ASSISTANCE
PA462581YHCMedicare PIN