Individual
ANNAPURNA LAKSHMI SRAVANTI MANDALIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 822-7639
Mailing address
40 LAIRD ST APT 1-433, LONG BRANCH, NJ 07740-8101
(732) 822-7639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22330
NH
Other
Enumeration date
07/21/2019
Last updated
05/20/2022
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