Individual
DR. ANAND MANTRAVADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
47737-020
WI
207W00000X
Ophthalmology Physician
Primary
D0089313
MD
207W00000X
Ophthalmology Physician
MD430918
PA
Other
Enumeration date
11/05/2006
Last updated
01/05/2021
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