# ANITHA MANDADAPU, MD, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831473859
- **Authorized official:** ANITHA MANDADAPU M.D. (MEMBER)
- **Authorized official phone:** (502) 817-0927

## Contact information

- **Practice address:** 8521 LA GRANGE RD, LOUISVILLE, KY 40242-3800
- **Practice address phone:** (502) 817-0927
- **Practice address fax:** (502) 222-8745
- **Mailing address:** 3905 SPRING VALLEY WAY, LOUISVILLE, KY 40241-5121
- **Mailing address phone:** (502) 817-0927
- **Mailing address fax:** (502) 222-8745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 42490 | KY | Yes |

## Other

- **Enumeration date:** 10/10/2011
- **Last updated:** 10/10/2011