DR. Vasudevarao Mandava, M.D

NPI #1073501821 in Mount Clemens, Michigan

Provider Information

NPI Number: 1073501821
Entity Type: Individual
Name: DR. Vasudevarao Mandava, M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D
Enumeration Date: Oct 6, 2005
Last Updated: Sep 24, 2020

Practice Location

Address: 18 MARKET ST
Address 2: SUITE C
City: Mount Clemens
State: Michigan
ZIP Code: 48043
Phone: (586) 783-2222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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