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Organization
DR. ANANDHI MANDI LLC
Active
Organization
DR. ANANDHI MANDI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANANDHI MANDI MD (PROVIDER/OWNER)
(503) 690-4308
Entity
Organization
Contact information
Practice address
4950 NE BELKNAP CT, SUITE # 202, HILLSBORO, OR 97124-5113
(503) 690-4308
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD22450
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD22450
PROFESSIONAL LICENSE
OR
Enumeration date
05/22/2012
Last updated
05/22/2012
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