Provider Demographics
NPI:1053970236
Name:MAHAJAL LLC
Entity type:Organization
Organization Name:MAHAJAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF MAHAJAL LLC
Authorized Official - Prefix:MRS
Authorized Official - First Name:MANISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGHVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-675-2484
Mailing Address - Street 1:3501 NORTH SCOTTSDALE ROAD
Mailing Address - Street 2:#142
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251
Mailing Address - Country:US
Mailing Address - Phone:480-949-8070
Mailing Address - Fax:480-970-4891
Practice Address - Street 1:3501 NORTH SCOTTSDALE ROAD
Practice Address - Street 2:#142
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251
Practice Address - Country:US
Practice Address - Phone:480-949-8070
Practice Address - Fax:480-970-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty