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VIVEK MAHADEVAIAH
NPI 1366235681
Student in an Organized Health Care Education/Training Program in Tucson, AZ

Active since May 28, 2025
5301 E GRANT ROAD, TUCSON, AZ 85712(520) 324-5095 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, May 28, 2025 (2 updates tracked since 2025).

About Vivek Mahadevaiah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVEK MAHADEVAIAH (NPI 1366235681) is an individual student in an organized health care education/training program in Tucson, Arizona and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1366235681
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIVEK MAHADEVAIAH
Location Address5301 E GRANT ROADTucson, AZ 85712
Mailing Address5301 E Grant Rd, Tucson, Az 85712Tucson, AZ 85712 · (520) 324-5095
Phone(520) 324-5095
Sole ProprietorNo
Enumeration DateMay 28, 2025
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1366235681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5301 E GRANT ROAD, Tucson, AZ 85712
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER SCOTT FLORENCE MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. DONALD LEE KANE DO
Pediatrics (Pediatric Emergency Medicine)
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. RONALD JOSEPH WIDMAN MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. BRIAN PATRICK HAGERTY MD
Pediatrics (Pediatric Emergency Medicine)
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. KEITH ROSS KABACK MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. KENT VANTUYL CAREY MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. DAVID EUGENE COMPTON MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922
DR. CHARLES JOHN PETERSON MD
Emergency Medicine
5301 E GRANT ROAD, TUCSON MEDICAL CENTER EMERGENCY DEPARTMENT
TUCSON, AZ 85712
Pima County (520) 324-1922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivek Mahadevaiah's NPI number?

The NPI number for Vivek Mahadevaiah is 1366235681. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Vivek Mahadevaiah located?

Vivek Mahadevaiah practices at 5301 E Grant Road, Tucson, AZ 85712. The listed phone number is (520) 324-5095.

What is Vivek Mahadevaiah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vivek Mahadevaiah was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.