Provider Demographics
NPI:1548028103
Name:MAHARAJ, PALVI (MD)
Entity type:Individual
Prefix:
First Name:PALVI
Middle Name:
Last Name:MAHARAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 FAIR ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-5495
Mailing Address - Country:US
Mailing Address - Phone:332-217-9863
Mailing Address - Fax:
Practice Address - Street 1:2405 FAIR ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-5495
Practice Address - Country:US
Practice Address - Phone:332-217-9863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist