Individual
MAMATHA SANDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
509 CAGAN VIEW RD, CLERMONT, FL 34714-6405
(407) 905-8827
(407) 660-1667
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME112365
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116647100
—
FL
Enumeration date
04/30/2012
Last updated
05/20/2024
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