Vasudevarao Mandava M.D

NPI 1073501821 - Internal Medicine - 207R00000X

NPI Details
NPI 1073501821
Gender Male
Enumeration Date 10/06/2005
Last Updated 06/08/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
MOUNT CLEMENS MI, 48043-7403, US
Phone (586) 783-2222
Fax (586) 783-6280
Business Location
6800 E 10 MILE RD
CENTER LINE MI, 48015-1167, US
Phone (586) 619-9986
Fax (586) 773-1211
Taxonomy Code 207R00000X
License State Michigan
License Number VM031566
Remove 1073501821 NPI Number

According to our database, Dr. Vasudevarao Mandava M.D NPI is 1073501821, taxonomy code is 207R00000X and license number is VM031566, license state is located at Michigan. Vasudevarao Mandava M.D physically located at 18 Market St, Mount Clemens MI, 48043-7403. NPI Number Vasudevarao Mandava M.D has the Individual type.

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1073501821 NPI number is provided on an as is basis without warranty of any kind. 1073501821 is maintained by the National Plan & Provider Enumeration System. The contents of Vasudevarao Mandava M.D are for informational purposes only.