Provider Demographics
NPI:1184700536
Name:MAHADKAR, ALOPARANI MOHAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ALOPARANI
Middle Name:MOHAN
Last Name:MAHADKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 E 138TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-4920
Mailing Address - Country:US
Mailing Address - Phone:718-665-5001
Mailing Address - Fax:718-665-4997
Practice Address - Street 1:534 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-4920
Practice Address - Country:US
Practice Address - Phone:718-665-5001
Practice Address - Fax:718-665-4997
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-28
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037139122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00750418Medicaid