Provider Demographics
NPI:1619037264
Name:MAYEKAR, RUTA U (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTA
Middle Name:U
Last Name:MAYEKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1750
Mailing Address - Street 2:DELCO PSYCHIATRIC ASSOCIATES LLC
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317
Mailing Address - Country:US
Mailing Address - Phone:610-461-3530
Mailing Address - Fax:610-461-3532
Practice Address - Street 1:2173 MACDADE BLVD
Practice Address - Street 2:SUITE K/L
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:610-461-3532
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD030644E2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010637200017Medicaid
539935OtherBLUE CROSS BLUE SHIELD
250897OtherMENTAL HEALTH NETWORK
250879OtherTRICARE
2622998000OtherPERSONAL CHOICE
2622998000OtherPERSONAL CHOICE
PAE87735Medicare UPIN