Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kajan Mahadevan, MD

Individual provider Internal Medicine Physician · NPI 1972164580

Dr. Kajan Mahadevan, MD is an Internal Medicine in Johnson City, Tennessee. Qualified in 2019, 7 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Lamont St & Veterans Way James H Quillen VA Medical Ctr
Johnson City, TN 37604
Phone: (423) 926-1171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 65585 (TN)

Record details

NPI number1972164580
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2019
Last updated in NPPESJuly 11, 2022
Certification dateJuly 11, 2022
Mailing addressPo Box 70622, Johnson City, TN 37614-1709

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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