Individual
MANDANA DAVANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT, SAINT AUGUSTINE, FL 32086-5784
(904) 819-4398
(904) 819-4976
Mailing address
400 HEALTH PARK BLVD, ATTN: RADIOLOGY DEPARTMENT, SAINT AUGUSTINE, FL 32086-5784
(904) 819-4398
(904) 819-4976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME77783
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256343600
—
FL
01
—
300121884
RAILROAD MEDICARE
FL
Enumeration date
03/01/2006
Last updated
05/17/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us