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Individual

SAI MANDAVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
981045 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5779
(402) 559-1010
Mailing address
100 S 19TH ST APT 402, OMAHA, NE 68102-1344
(314) 608-0328

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/30/2022
Last updated
11/07/2023
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