Provider Demographics
NPI:1659953008
Name:MERGEY DEVENDER, HARSHITHA (MBBS)
Entity Type:Individual
Prefix:MS
First Name:HARSHITHA
Middle Name:
Last Name:MERGEY DEVENDER
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W BELVEDERE AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215
Mailing Address - Country:US
Mailing Address - Phone:410-601-7649
Mailing Address - Fax:410-601-6308
Practice Address - Street 1:2401 W BELVEDERE AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215
Practice Address - Country:US
Practice Address - Phone:410-601-7649
Practice Address - Fax:410-601-6308
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program